Maximum Health & Wellness Teterboro LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MAXIMUM HEALTH & WELLNESS TETERBORO LLC

Practice address

100 Hollister Rd
C/O Gold's Gym
Teterboro, NJ 07608-1148

Phone

(973) 507-9866

NPI assigned

Jun 28, 2016

Last updated

Jun 30, 2016By 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

Jennifer Carrol

Title

Office Rep

Phone

(352) 942-1204

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1780035071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOLLISTER RD",
            "address_2": "C/O GOLD'S GYM",
            "city": "TETERBORO",
            "state": "NJ",
            "postal_code": "076081148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOLLISTER RD",
            "address_2": "C/O GOLD'S GYM",
            "city": "TETERBORO",
            "state": "NJ",
            "postal_code": "076081148",
            "telephone_number": "973-507-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM HEALTH & WELLNESS TETERBORO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "CARROL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE REP",
        "authorized_official_telephone_number": "352-942-1204"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine J. Lidestri, LCSW
• Anjali P Limaye, M.D.
• Ronald David Luff, M.D.
• Afsar Mahmood, M.D., P.H.D
• Henrielle Manapat, LSW
• Marise MC Neeley, M.D.
• Kumudini U Mehta, M.D.
• Glenn Webster Molyneaux
• Monica Sage Moore, BA
• Alexander Derek Morales, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.