Pure Life Chiropractic

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

38MC00648300 Issued in NJ

Legal business name

PURE LIFE CHIROPRACTIC

Practice address

16 Watsessing Ave
Bloomfield, NJ 07003

Phone

(973) 768-3651

NPI assigned

Dec 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Rosania Jr., D.C.NPI 1134281330

Title

Chiropractor

Phone

(973) 768-3651

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Rosania Jr., D.C.

  • Chiropractor
  • Bloomfield, NJ
  • NPI 1134281330
  NPD (past) Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689736811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 GLENROY RD EAST",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "07004",
            "telephone_number": "973-768-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WATSESSING AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "973-768-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSANIA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "973-768-3651",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NJ",
            "license": "38MC00648300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Benjamin Quidangen
• Audai Rababah

• Point of Service in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Point of Service in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.