Active NPI
Active Care Wellness Center
- Chiropractor
- Chatham, NJ
National Provider Identifier
1932448800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- ACTIVE CARE WELLNESS CENTER
- Practice address
- 17 Watchung Ave
Chatham, NJ 07928-2700 - Phone
- (973) 635-2605
- Fax
- (973) 635-2646
- NPI assigned
- Feb 12, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Carroll
- Title
- Billing Representative
- Phone
- (352) 683-3855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
17 Watchung Ave
Chatham, NJ 07928-2700
Mailing address
17 Watchung Ave
Chatham, NJ 07928-2700
Phone (973) 635-2605
National Provider Directory
National Provider DirectoryLocations
17 Watchung Ave
Chatham, NJ 07928
Phone (973) 665-0900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360627200000",
"number": "1932448800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 WATCHUNG AVE",
"city": "CHATHAM",
"state": "NJ",
"postal_code": "079282700",
"telephone_number": "973-635-2605",
"fax_number": "973-635-2646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 WATCHUNG AVE",
"city": "CHATHAM",
"state": "NJ",
"postal_code": "079282700",
"telephone_number": "973-635-2605",
"fax_number": "973-635-2646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTIVE CARE WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-12",
"last_updated": "2013-02-12",
"status": "A",
"authorized_official_last_name": "CARROLL",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "BILLING REPRESENTATIVE",
"authorized_official_telephone_number": "352-683-3855"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chatham, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.