Organization Active NPI

Hackensack Injury & Wellness Center

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hackensack, NJ
National Provider Identifier
1871804948
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
HACKENSACK INJURY & WELLNESS CENTER
Practice address
335A Main St
Hackensack, NJ 07601-5804
Phone
(201) 489-3400
Fax
(201) 489-3411
NPI assigned
Jun 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Authorized official

Name
Angel Manuel Carrion, D.C.NPI 1003863465
Title
Vice President
Phone
(201) 489-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X NJ
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X NJ Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X NJ

Addresses

Primary practice location

335A Main St
Hackensack, NJ 07601-5804

Mailing address

335A Main St
Hackensack, NJ 07601-5826
Phone (201) 489-3400

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, 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": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1871804948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335A MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015826",
            "telephone_number": "201-489-3400",
            "fax_number": "201-489-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335A MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015804",
            "telephone_number": "201-489-3400",
            "fax_number": "201-489-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK INJURY & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "CARRION",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "201-489-3400",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.