Organization Active NPI

Maximum Health & Wellness Wayne, LLC

  • Chiropractor
  • Wayne, NJ
National Provider Identifier
1699179366
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MAXIMUM HEALTH & WELLNESS WAYNE, LLC
Practice address
60 Owens Dr
Suite 105
Wayne, NJ 07470-2496
Phone
(973) 790-1984
Fax
(973) 790-4325
NPI assigned
Oct 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Thomas R Boorujy, D.C.
Title
Owner
Phone
(352) 942-1204

Specialties & licenses 3

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

Addresses

Primary practice location

60 Owens Dr
Suite 105
Wayne, NJ 07470-2496

Mailing address

60 Owens Dr
Suite 105
Wayne, NJ 07470-2496
Phone (973) 790-1984

National Provider Directory

National Provider Directory

Locations

60 Owens Dr
Ste 105
Wayne, NJ 07470
Phone (973) 790-1984

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1699179366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 OWENS DR",
            "address_2": "SUITE 105",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702496",
            "telephone_number": "973-790-1984",
            "fax_number": "973-790-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 OWENS DR",
            "address_2": "SUITE 105",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702496",
            "telephone_number": "973-790-1984",
            "fax_number": "973-790-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM HEALTH & WELLNESS WAYNE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "BOORUJY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-942-1204",
        "authorized_official_credential": "D.C."
    },
    "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.