Organization Active NPI

Wolke Chiropractic & Rehabilitation, P.C.

  • Chiropractor
  • Verona, NJ
National Provider Identifier
1881032019
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WOLKE CHIROPRACTIC & REHABILITATION, P.C.
Practice address
155 Pompton Ave
Verona, NJ 07044-2942
Phone
(973) 433-7204
Fax
(973) 433-7208
NPI assigned
Jun 10, 2013
Organization subpart
Yes
Parent organization
WOLKE CHIROPRACTIC & REHABILITATON, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Anthony Wolke, D.C.NPI 1962571836
Title
Doctor/ Owner
Phone
(973) 433-7204

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

155 Pompton Ave
Verona, NJ 07044-2942

Mailing address

155 Pompton Ave
Verona, NJ 07044-2942
Phone (973) 433-7204

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090827000030 NJ Part B Supplier - Clinic/Group Practice 9537214549 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: North Haledon, NJ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Wolke Chiropractic Rehabilitation PC

Locations

535 High Mountain Rd
Ste 104
North Haledon, NJ 07508
Phone (973) 423-9001

155 Pompton Ave
Verona, NJ 07044
Phone (973) 433-7204

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1881032019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 POMPTON AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442942",
            "telephone_number": "973-433-7204",
            "fax_number": "973-433-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 POMPTON AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442942",
            "telephone_number": "973-433-7204",
            "fax_number": "973-433-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLKE CHIROPRACTIC & REHABILITATION, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOLKE CHIROPRACTIC & REHABILITATON, P.C.",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "WOLKE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "DOCTOR/ OWNER",
        "authorized_official_telephone_number": "973-433-7204",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.