Body Wellness & Rehabilitation LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC005814 Issued in NJ

Legal business name

BODY WELLNESS & REHABILITATION LLC

Practice address

2909 Washington Rd
Parlin, NJ 08859-1513

Phone

(732) 727-5502

Fax

(732) 727-5503

NPI assigned

Nov 30, 2006

Last updated

Dec 14, 2007By 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. John F Marullo, DCNPI 1942254073

Title

Owner

Phone

(732) 727-5502

Specialties & licenses 1

Addresses

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.

• John Frank Marullo, DC

  • Chiropractor
  • Parlin, NJ
  • NPI 1942254073
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1871660977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 WASHINGTON RD",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591513",
            "telephone_number": "732-727-5502",
            "fax_number": "732-727-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 WASHINGTON RD",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591513",
            "telephone_number": "732-727-5502",
            "fax_number": "732-727-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY WELLNESS & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "MARULLO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-727-5502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC005814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Blagoev, DDS
• Mariana A Blagoev, DDS
• Haesung Blanchard, RPH
• Carli Block, OTD
• Allyson Kathryn Bloodgood, OTR/L
• Virginia Borromeo, M.D.
• Brendan Potash DC LLC
• Bridge to Life Clinical Consultants, LLC
• Ramilia Concepcion Z Bucoy-Velez, PT
• Richard Burton

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.