Organization Active NPI

KB Restorative Wellness

  • Chiropractor
  • Clifton, NJ
National Provider Identifier
1821736042
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KB RESTORATIVE WELLNESS
Practice address
62 Strangeway Ter
Clifton, NJ 07011-3844
Phone
(862) 256-0353
NPI assigned
May 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Jennifer Carroll
Title
Office Rep
Phone
(833) 789-3227

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

62 Strangeway Ter
Clifton, NJ 07011-3844

Mailing address

62 Strangeway Ter
Clifton, NJ 07011-3844
Phone (862) 256-0353

National Provider Directory

National Provider Directory

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": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1821736042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 STRANGEWAY TER",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113844",
            "telephone_number": "862-256-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 STRANGEWAY TER",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113844",
            "telephone_number": "862-256-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB RESTORATIVE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE REP",
        "authorized_official_telephone_number": "833-789-3227"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.