Mountainside Wellness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00617100 Issued in NJ

Legal business name

MOUNTAINSIDE WELLNESS, LLC

Practice address

1139 Spruce Dr
Second Floor
Mountainside, NJ 07092-2221

Phone

(908) 233-3993

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Stephen M Totin, DC

Title

Owner

Phone

(732) 236-4701

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michael Moon Lee, L.AC.

  • Acupuncturist
  • New York, NY
  • NPI 1588095160
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952337529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 ELIAS AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952208",
            "telephone_number": "732-236-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 SPRUCE DR",
            "address_2": "SECOND FLOOR",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922221",
            "telephone_number": "908-233-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSIDE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOTIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-236-4701",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00617100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountainside Neuropsychology, LLC
• Mountainside Nursing and Rehab BHC Operations
• Mountainside Physical Therapy LLC
• Mountainside Rescue Squad Borough of Mountainside, N.J.
• Mountainside Smiles
• Jennifer C Muhs, OTR
• Stephanie Munoz
• Stephanie A. Murasso, MS,CCC/SLP
• Scott Musial, PA-C
• Natalie Narkiewicz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.