Active NPI
Total Wellness of NJ, Inc.
- Chiropractor
- Lake Hopatcong, NJ
National Provider Identifier
1871654723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC05066
- Legal business name
- TOTAL WELLNESS OF NJ, INC.
- Practice address
- 28 Bowling Green Pkwy Ste 1a
Lake Hopatcong, NJ 07849 - Phone
- (973) 663-5633
- Fax
- (973) 663-5762
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leah Petito
- Title
- Office Manager
- Phone
- (973) 663-5633
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC05066 | NJ | Primary |
Addresses
Primary practice location
28 Bowling Green Pkwy Ste 1a
Lake Hopatcong, NJ 07849
Mailing address
28 Bowling Green Pkwy Ste 1a
Lake Hopatcong, NJ 07849-2445
Phone (973) 663-5633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120702000287 | NJ | Part B Supplier - Clinic/Group Practice | 6608031380 |
Receives reassigned benefits from 2 practitioners Practice locations: Lake Hopatcong, NJ |
National Provider Directory
National Provider DirectoryLocations
28 Bowling Green Pkwy
Ste 1A
Lake Hopatcong, NJ 07849
Phone (973) 663-5633
21 Bowling Green Pkwy
Ste 201
Lk Hopatcong, NJ 07849
Phone (973) 663-5633
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Lake Hopatcong, NJ
- NPI 1477687101
-
- Chiropractor
- Lake Hopatcong, NJ
- NPI 1093707861
-
- Chiropractor
- Lake Hopatcong, NJ
- NPI 1801888672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1530489600000",
"number": "1871654723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 BOWLING GREEN PKWY STE 1A",
"city": "LAKE HOPATCONG",
"state": "NJ",
"postal_code": "078492445",
"telephone_number": "973-663-5633",
"fax_number": "973-663-5762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 BOWLING GREEN PKWY STE 1A",
"city": "LAKE HOPATCONG",
"state": "NJ",
"postal_code": "07849",
"telephone_number": "973-663-5633",
"fax_number": "973-663-5762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL WELLNESS OF NJ, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2018-07-02",
"status": "A",
"authorized_official_last_name": "PETITO",
"authorized_official_first_name": "LEAH",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "973-663-5633"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC05066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Hopatcong, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.