Nj Chiropractic And Physical Therapy Wellness Center Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Jersey City, New Jersey. Their current practice location is
3000 John F Kennedy Blvd Ste 316, Jersey City, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(201) 963-0200.
Nj Chiropractic And Physical Therapy Wellness Center Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Nj Chiropractic And Physical Therapy Wellness Center Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1215327408.
Healthcare Provider's Profile
| Full Name | Nj Chiropractic And Physical Therapy Wellness Center Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 3000 John F Kennedy Blvd Ste 316, Jersey City, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215327408
- Provider Enumeration Date: 01/27/2015
- Last Update Date: 01/14/2019
Medicare PECOS Information:
- PECOS PAC ID: 4981915550
- Enrollment ID: O20150623002664
Medical Identifiers
Medical identifiers for Nj Chiropractic And Physical Therapy Wellness Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215327408 | NPI | - | NPPES |
| 38MC00704200 | Other | NJ | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NR0400X | Chiropractor - Rehabilitation | 38MC00704200 (New Jersey) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Nj Chiropractic And Physical Therapy Wellness Center Llc acts as a billing entity for following providers:
| Provider Name | Rummel G Mendoza |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1114098480
PECOS PAC ID: 4587980800
Enrollment ID: I20150304001716 |
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| Provider Name | Desiree T Mendoza |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1184855652
PECOS PAC ID: 9335450907
Enrollment ID: I20160316001183 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nj Chiropractic And Physical Therapy Wellness Center Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Nj Chiropractic And Physical Therapy Wellness Center Llc
3000 John F Kennedy Blvd Ste 316,
Jersey City, NJ 07306-3817
Ph: (201) 963-0200 | Nj Chiropractic And Physical Therapy Wellness Center Llc
3000 John F Kennedy Blvd Ste 316,
Jersey City, NJ 07306-3817
Ph: (201) 963-0200 |
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