Linda Dimauro Wells, DC DOCTOR OF CHIROPR

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00205600 Issued in NJ

Practice address

251 Park Avenue
Park Ridge, NJ 07656-2405

Phone

(201) 307-0557

Fax

(201) 307-0814

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811046030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 PARK AVENUE",
            "address_2": "LINDA DIMAURO WELLS DC",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076562405",
            "telephone_number": "201-307-0557",
            "fax_number": "201-307-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 PARK AVENUE",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076562405",
            "telephone_number": "201-307-0557",
            "fax_number": "201-307-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "LINDA",
        "middle_name": "DIMAURO",
        "name_prefix": "Dr.",
        "credential": "DC DOCTOR OF CHIROPR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00205600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "203881",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0021394",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P631923",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Carmine Todaro
• Eric Roy Von Der Lieth
• Erica Mihe Von Der Lieth, D.C.
• Sonia Vulakh, D.D.S
• Amgad Wassef, RPH, MBA
• Thomas Burton Willingham, M.DIV.
• Kristine Woelk
• Donald H Wolmer, MD

• Chiropractor in Park Ridge, NJ
• Providers in Park Ridge, 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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.