Richard Maczuga Chiropractor LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RICHARD MACZUGA CHIROPRACTOR LLC

Practice address

1160 Kennedy Blvd
Suite C
Bayonne, NJ 07002-3128

Phone

(201) 823-0303

Fax

(201) 436-6180

NPI assigned

Aug 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Richard Maczuga, DC

Title

Owner

Phone

(201) 823-0303

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1891043394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 KENNEDY BLVD",
            "address_2": "SUITE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023128",
            "telephone_number": "201-823-0303",
            "fax_number": "201-436-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 KENNEDY BLVD",
            "address_2": "SUITE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023128",
            "telephone_number": "201-823-0303",
            "fax_number": "201-436-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD MACZUGA CHIROPRACTOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "MACZUGA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-823-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revitalyz Wellness Center, LLC
• Ashley Reyes, OTR/L
• Eva C Reyes, PT, DPT
• Emad Youssef Rezk
• Samantha Riccardi
• Alexandra Lyn Richardson, AGNP-C
• Rite Aid
• Rite Aid of New Jersey Inc
• Chantell Rivera
• Raymond Cecil Rivera, P.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.