Organization Active NPI

NJ Chiro Wellness, LLC

  • Chiropractor
  • Jersey City, NJ
National Provider Identifier
1881091783
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00548300 Issued in NJ
Legal business name
NJ CHIRO WELLNESS, LLC
Practice address
253 Academy St
Floor 1
Jersey City, NJ 07306-4307
Phone
(201) 667-5669
NPI assigned
Nov 21, 2014
Last updated
Nov 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Emad Missak, D.C.NPI 1518034131
Title
Co-Owner
Phone
(908) 227-7270

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 38MC00548300 NJ Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 38MC00251000 NJ

Addresses

Primary practice location

253 Academy St
Floor 1
Jersey City, NJ 07306-4307

Mailing address

253 Academy St
Floor 1
Jersey City, NJ 07306-4307
Phone (201) 667-5669

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": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1881091783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 ACADEMY ST",
            "address_2": "FLOOR 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064307",
            "telephone_number": "201-667-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 ACADEMY ST",
            "address_2": "FLOOR 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064307",
            "telephone_number": "201-667-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ CHIRO WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "MISSAK",
        "authorized_official_first_name": "EMAD",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "908-227-7270",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00548300",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00251000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.