Organization Active NPI

Purebody Wellness

  • Chiropractor
  • Fair Lawn, NJ
National Provider Identifier
1780422766
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PUREBODY WELLNESS
Practice address
25-15 Fair Lawn Ave Ste 2
Fair Lawn, NJ 07410-3434
Phone
(973) 741-0649
NPI assigned
Jul 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Dr. Joseph Michael Mograbi, DCNPI 1093011694
Title
Owner
Phone
(516) 319-4974

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

25-15 Fair Lawn Ave Ste 2
Fair Lawn, NJ 07410-3434

Mailing address

25-15 Fair Lawn Ave Ste 2
Fair Lawn, NJ 07410-3434
Phone (973) 741-0649

National Provider Directory

National Provider Directory

Locations

25-15 Fair Lawn Ave
Ste 2
Fair Lawn, NJ 07410
Phone (973) 741-0649

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": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1780422766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25-15 FAIR LAWN AVE STE 2",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103434",
            "telephone_number": "973-741-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25-15 FAIR LAWN AVE STE 2",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103434",
            "telephone_number": "973-741-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUREBODY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "MOGRABI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-319-4974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.