Stillwater Health and Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00455900 Issued in NJ

Legal business name

STILLWATER HEALTH AND WELLNESS LLC

Practice address

18 Stillwater Rd
Blairstown, NJ 07825-9561

Phone

(908) 362-8767

Fax

(908) 362-8770

NPI assigned

Mar 9, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sandy Giacobbe Jr., D.C.NPI 1891780177

Title

Owner

Phone

(908) 362-8767

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandy Giacobbe, DC

  • Chiropractor
  • Blairstown, NJ
  • NPI 1891780177
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1649545625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 STILLWATER RD",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "078259561",
            "telephone_number": "908-362-8767",
            "fax_number": "908-362-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 STILLWATER RD",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "078259561",
            "telephone_number": "908-362-8767",
            "fax_number": "908-362-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "GIACOBBE",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-362-8767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00455900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ruffle, O.D.
• Jennifer Lynn Russo, LPC, LCADC, ACS
• Eileen F. Schneider, A.T.,C.
• Robert Paul Schwartz, DMD
• Michael A Sefcik, DC
• David E Stoner, RPH
• Brad David Strauss, ATC
• Jessi Sugar, PHARMD
• John C Thomas, RPH.
• Ti Healthcare I LLC

• Chiropractor in Blairstown, NJ
• Providers in Blairstown, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.