Organization Active NPI

Practical Health Solutions LLC

Doing business as Body Pure Chiropractic

  • Chiropractor
  • New Providence, NJ
National Provider Identifier
1871001974
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00736900 Issued in NJ
Legal business name
PRACTICAL HEALTH SOLUTIONS LLC
Doing business as
Body Pure Chiropractic
Practice address
1806 Springfield Ave
New Providence, NJ 07974-1005
Phone
(908) 771-0707
Fax
(908) 607-2067
NPI assigned
Jan 11, 2018
Last updated
Jan 11, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
PRACTICAL SOLUTIONS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Authorized official

Name
Michael John OrlandoNPI 1205906393
Title
Director
Phone
(908) 771-0707

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
Chiropractor 111N00000X 38MC00736900 NJ Primary

Addresses

Primary practice location

1806 Springfield Ave
New Providence, NJ 07974-1005

Mailing address

1806 Springfield Ave
New Providence, NJ 07974-1005
Phone (908) 771-0707

Other names 1

  • Body Pure Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180301000191 NJ Part B Supplier - Clinic/Group Practice 2365703634 Receives reassigned benefits from 1 practitioner
Practice locations: New Providence, NJ

National Provider Directory

National Provider Directory
Part of
Practical Health Solutions LLC

Locations

219 South St
Ste 104
New Providence, NJ 07974
Phone (908) 771-0707

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1871001974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 SPRINGFIELD AVE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741005",
            "telephone_number": "908-771-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 SPRINGFIELD AVE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741005",
            "telephone_number": "908-771-0707",
            "fax_number": "908-607-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICAL HEALTH SOLUTIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRACTICAL SOLUTIONS LLC",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "ORLANDO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-771-0707"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00736900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Pure Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Providence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.