Organization Active NPI

Valley Natural Health LLC

  • Chiropractor
  • Paramus, NJ
National Provider Identifier
1881164101
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VALLEY NATURAL HEALTH LLC
Practice address
122 E Ridgewood Ave
Paramus, NJ 07652-4038
Phone
(201) 634-9004
Fax
(201) 634-9690
NPI assigned
Nov 29, 2018
Last updated
Nov 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Authorized official

Name
Dr. Hailey Coonrad, DCNPI 1457760951
Title
Manager
Phone
(201) 634-9004

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

122 E Ridgewood Ave
Paramus, NJ 07652-4038

Mailing address

122 E Ridgewood Ave
Paramus, NJ 07652-4038
Phone (201) 634-9004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190110001427 NJ Part B Supplier - Clinic/Group Practice 8123364213 Receives reassigned benefits from 1 practitioner
Practice locations: Paramus, NJ

National Provider Directory

National Provider Directory

Locations

122 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 307-1700

Practitioners & affiliated clinicians

Practitioners 2

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": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1881164101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E RIDGEWOOD AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524038",
            "telephone_number": "201-634-9004",
            "fax_number": "201-634-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E RIDGEWOOD AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524038",
            "telephone_number": "201-634-9004",
            "fax_number": "201-634-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY NATURAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "COONRAD",
        "authorized_official_first_name": "HAILEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-634-9004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.