Healthy and Active

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00592500 Issued in NJ

Legal business name

HEALTHY AND ACTIVE

Practice address

29 High St
Allendale, NJ 07401-1511

Phone

(201) 444-6700

Fax

(201) 327-3828

NPI assigned

Jun 18, 2007

Last updated

May 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ralph Walter Bysiek, D.C.NPI 1538364872

Title

Director

Phone

(201) 444-6700

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ralph Walter Bysiek, D.C.

  • Chiropractor
  • Allendale, NJ
  • NPI 1538364872
  NPD (past) Authorized official
• Carol Linda Videtti, LCSW

  • Clinical Social Worker
  • Allendale, NJ
  • NPI 1861019382
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1952506206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HIGH ST",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011511",
            "telephone_number": "201-444-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 HIGH ST",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011511",
            "telephone_number": "201-444-6700",
            "fax_number": "201-327-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY AND ACTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "BYSIEK",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-444-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00592500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalaka Ozarkar Gupte, MA, LPC
• Deborah Hamilton, LAC
• Dong Seok Han, M. DIV.
• Sarah L Haser Maltese, LAC
• Bonnie Hathaway, CRNA
• Lauren Hegyi, MS, CCC-SLP
• Jerald Bruce Hershman, M.D.
• Linh Manh Hoang
• Joy Lisa Hollander-Fink, MA, CCC-SLP
• Tara Hutto, MSOT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.