Pro Health Sports and Wellness Center Chester LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PRO HEALTH SPORTS AND WELLNESS CENTER CHESTER LLC

Practice address

169 Route 206
Chester, NJ 07930

Phone

(973) 627-7888

Fax

(973) 627-7040

NPI assigned

Dec 4, 2017

Organization subpart

No

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

Authorized official

Name

Derrick Lawlor, D.C.

Title

Authorized Official

Phone

(973) 627-7888

Specialties & licenses 1

Addresses

Practitioners 1

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

• David Barrett III, DC

  • Chiropractor
  • Denville, NJ
  • NPI 1447273230
  NPD

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1972018778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 E MAIN ST",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342647",
            "telephone_number": "973-627-7888",
            "fax_number": "973-627-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 ROUTE 206",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "07930",
            "telephone_number": "973-627-7888",
            "fax_number": "973-627-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO HEALTH SPORTS AND WELLNESS CENTER CHESTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "LAWLOR",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "973-627-7888",
        "authorized_official_credential": "D.C."
    },
    "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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• Thomas Edward Pusterla, DPM
• Bonita Sue Pyler, APN
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• Rachel D. Specht, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.