NPIMap

Organization Active NPI

New Leaf Health and Wellness, PC

  • Chiropractor
  • Greenacres, FL
National Provider Identifier
1922492685
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NEW LEAF HEALTH AND WELLNESS, PC
Practice address
4828 Lake Worth Rd Ste a
Greenacres, FL 33463-3456
Phone
(609) 662-4714
NPI assigned
Mar 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Robert Wallace
Title
MNGR
Phone
(609) 662-4714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4828 Lake Worth Rd Ste a
Greenacres, FL 33463-3456

Mailing address

3 Corbett Way Ste a
Eatontown, NJ 07724-2283

National Provider Directory

National Provider Directory
Tax ID family
New Leaf Health and Wellness PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4828 Lake Worth Rd
Ste A
Greenacres, FL 33463
Phone (609) 662-4714

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1922492685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CORBETT WAY STE A",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4828 LAKE WORTH RD STE A",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633456",
            "telephone_number": "609-662-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF HEALTH AND WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MNGR",
        "authorized_official_telephone_number": "609-662-4714"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.