NPIMap

Organization Active NPI

Pure One Wellness Center, LLC

  • Chiropractor
  • Paterson, NJ
National Provider Identifier
1801132022
Registry record updated Dec 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PURE ONE WELLNESS CENTER, LLC
Practice address
301 Main St
Paterson, NJ 07505-1855
Phone
(973) 278-2862
NPI assigned
Dec 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2012

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

Authorized official

Name
Steven Marinkovic, DCNPI 1629118799
Title
President
Phone
(973) 278-2862

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

301 Main St
Paterson, NJ 07505-1855

Mailing address

301 Main St
Paterson, NJ 07505-1855
Phone (973) 278-2862

National Provider Directory

National Provider Directory
Tax ID family
Pure One Wellness Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 Main St
Paterson, NJ 07505
Phone (973) 278-2862

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": "1355529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355529600000",
    "number": "1801132022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051855",
            "telephone_number": "973-278-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051855",
            "telephone_number": "973-278-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE ONE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-15",
        "last_updated": "2012-12-15",
        "status": "A",
        "authorized_official_last_name": "MARINKOVIC",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-278-2862",
        "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 Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2012; 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.