Organization Active NPI

Elite Spine and Wellness, LLC

  • Chiropractor
  • North Brunswick, NJ
National Provider Identifier
1932715505
Registry record updated Sep 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ELITE SPINE AND WELLNESS, LLC
Practice address
2864 Rte 27 Ste C
North Brunswick, NJ 08902-5010
Phone
(732) 618-3220
NPI assigned
Sep 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2020

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

Authorized official

Name
Robert Khamish, DCNPI 1073970711
Title
Owner
Phone
(732) 618-3220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2864 Rte 27 Ste C
North Brunswick, NJ 08902-5010

Mailing address

PO Box 125
Morganville, NJ 07751-0125
Phone (732) 618-3220

National Provider Directory

National Provider Directory

Locations

2864 State Route 27
Ste C
North Brunswick, NJ 08902
Phone (732) 618-3220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600473600000",
    "number": "1932715505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077510125",
            "telephone_number": "732-618-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 RTE 27 STE C",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089025010",
            "telephone_number": "732-618-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPINE AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-19",
        "last_updated": "2020-09-19",
        "certification_date": "2020-09-19",
        "status": "A",
        "authorized_official_last_name": "KHAMISH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-618-3220",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2020; 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.