Reynolds Pain & Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REYNOLDS PAIN & WELLNESS CENTER LLC

Practice address

1572 Sussex Tpke
Randolph, NJ 07869-1822

Phone

(973) 625-2600

NPI assigned

Nov 7, 2011

Organization subpart

No

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

Authorized official

Name

Teresa A Wulster, DC

Title

Member/Manager

Phone

(973) 625-2600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1942587811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342174",
            "telephone_number": "973-625-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 SUSSEX TPKE",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078691822",
            "telephone_number": "973-625-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS PAIN & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "WULSTER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "973-625-2600",
        "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": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.