Organization Active NPI

Active Care Wellness Center

  • Chiropractor
  • Chatham, NJ
National Provider Identifier
1932448800
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Feb 12, 2013

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.