Innovative Wellness Care

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

INNOVATIVE WELLNESS CARE

Practice address

1809 Corlies Avenue
Neptune, NJ 07753

Phone

(732) 618-3220

NPI assigned

Jul 14, 2023

Organization subpart

No

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

Authorized official

Name

Robert Khamish

Title

Owner

Phone

(732) 618-3220

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1699454975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 CORLIES AVENUE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 CORLIES AVENUE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-618-3220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2204 Route 18 North",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "08857",
            "country_code": "US",
            "telephone_number": "732-416-6748",
            "fax_number": "732-416-6750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Beaverson Blvd Ste 12B",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087237870",
            "country_code": "US",
            "telephone_number": "732-255-1910",
            "fax_number": "732-255-1930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNOVATIVE WELLNESS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "KHAMISH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-618-3220"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Integrated Education and Counseling Services
• Integrated Wellness Consulting LLC
• Internal Medicine Institute of New Jersey, LLC
• Gregory Kenneth Ison, MD
• Muftiya Issa, ND, MSAOM, LAC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.