Intrinsic Chiropractic of New Jersey LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00740200 Issued in NJ

Legal business name

INTRINSIC CHIROPRACTIC OF NEW JERSEY LLC

Practice address

227 Washington Ave
Westwood, NJ 07675-1903

Phone

(201) 632-1277

NPI assigned

Jan 2, 2017

Last updated

Apr 26, 2017By 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. Anthony John Walko III, D.C.

Title

Owner/Provider

Phone

(201) 632-1277

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1483315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1871038711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 WASHINGTON AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751903",
            "telephone_number": "201-632-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 WASHINGTON AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751903",
            "telephone_number": "201-632-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRINSIC CHIROPRACTIC OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-02",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "WALKO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "201-632-1277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00740200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.