Whippany Chiropractic Life Center, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00521800 Issued in NJ

Legal business name

WHIPPANY CHIROPRACTIC LIFE CENTER, P.C.

Practice address

831 State Route 10
STR. 16
Whippany, NJ 07981-1154

Phone

(973) 884-1500

Fax

(973) 884-9656

NPI assigned

Oct 17, 2006

Last updated

Aug 22, 2020By 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

Dr. Mark Anthony Brzozowski, D.C.NPI 1801977996

Title

Chiropractor

Phone

(973) 884-1500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Anthony Brzozowski, D.C.

  • Chiropractor
  • Whippany, NJ
  • NPI 1801977996
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811078918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 STATE ROUTE 10",
            "address_2": "STR. 16",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079811154",
            "telephone_number": "973-884-1500",
            "fax_number": "973-884-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 STATE ROUTE 10",
            "address_2": "STR. 16",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079811154",
            "telephone_number": "973-884-1500",
            "fax_number": "973-884-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHIPPANY CHIROPRACTIC LIFE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRZOZOWSKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "973-884-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00521800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1935342",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanguard of Crestwood, LLC (Crestwood Nursing & Rehab Center)
• Tammy Wagner Cayir, BCBA
• Katherine Mary Walsh, SLP-CF
• Olga Weinberger, CCC-SLP
• Rubylene Welle
• Whippany Pain Relief & Wellness Center LLC
• Teri Camp Willis, PHD
• Ashley Wilson
• Justin Yen, RN
• Manal F. Youssef-Bessler, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.