Organization Active NPI

Stress Kicker Wellness Inc

  • Chiropractor
  • Vernon, NJ
National Provider Identifier
1679249585
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STRESS KICKER WELLNESS INC
Practice address
68 Vernon Crossing Rd
Vernon, NJ 07462-3214
Phone
(201) 499-5344
NPI assigned
Aug 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Dominic Caesar Cirigliano, DCNPI 1013996495
Title
Owner
Phone
(201) 499-5344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

68 Vernon Crossing Rd
Vernon, NJ 07462-3214

Mailing address

68 Vernon Crossing Rd
Vernon, NJ 07462-3214
Phone (201) 499-5344

Other practice location 1

260 Godwin Ave Ste 7
Wyckoff, NJ 07481-2099
Phone (201) 499-5344

Other practice location 2

16 Green Ct
Middletown, NY 10940-2670
Phone (914) 443-8298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210901003452 NJ Part B Supplier - Clinic/Group Practice 1850797622 Receives reassigned benefits from 1 practitioner
Practice locations: Wyckoff, NJ

National Provider Directory

National Provider Directory

Locations

260 Godwin Ave
Ste 7
Wyckoff, NJ 07481
Phone (201) 485-7518

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1679249585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 VERNON CROSSING RD",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "074623214",
            "telephone_number": "201-499-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 VERNON CROSSING RD",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "074623214",
            "telephone_number": "201-499-5344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Godwin Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "Wyckoff",
            "state": "NJ",
            "postal_code": "074812099",
            "country_code": "US",
            "telephone_number": "201-499-5344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Green Ct",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402670",
            "country_code": "US",
            "telephone_number": "914-443-8298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STRESS KICKER WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "CIRIGLIANO",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "CAESAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-499-5344",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.