MEDICARE: DR. IMMACULATE ORLANDO DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	38MC00495600	NJ

General Provider Information

NPI Number	:	1083238216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IMMACULATE ORLANDO DC

Provider Business Mailing Address
First Line	:	10 W 46TH ST
Second Line	:
City	:	BAYONNE
State	:	NJ
Zip	:	07002-4003
Country	:	US
Telephone Number	:	516-388-8960
Fax Number	:	201-437-1572

Provider Business Practice Location Address
First Line	:	10 W 46TH ST
Second Line	:
City	:	BAYONNE
State	:	NJ
Zip	:	07002-4003
Country	:	US
Telephone Number	:	516-388-8960
Fax Number	:	201-437-1572

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2020
Last Update Date	:	02/04/2026

Similar Medicare Providers

1043102445 — IMMACULATE CHIROPRACTIC PLLC
Practice Location Address:

10 W 46TH ST
BAYONNE, NJ
07002-4003

Practice Phone: 516-388-8960
Practice Fax: 201-437-1572

1598616435 — IMMACULATE CHIROPRACTIC PLLC
Practice Location Address:

10 W 46TH ST
BAYONNE, NJ
07002-4003

Practice Phone: 516-388-8960
Practice Fax: 201-437-1572

1073811303 — EDWARD P. BROWN, PC
Practice Location Address:

10 W 46TH ST
BAYONNE, NJ
07002-4003

Practice Phone: 201-437-7878
Practice Fax: 201-437-1572

1174964704 — OLIVE CHIROPRACTIC & WELLNESS CENTER LLC
Practice Location Address:

36 W 46TH ST
BAYONNE, NJ
07002-4003

Practice Phone: 201-706-0135
Practice Fax:

1386594075 — JAY SONTAG LMHC
Practice Location Address:

30 WILLOW ST APT 3
BAYONNE, NJ
07002-6092

Practice Phone: 929-214-8030
Practice Fax:

1942306642 — DR. MARY DUNLAP-BEALES DC
Practice Location Address:

120 LEFANTE WAY
BAYONNE, NJ
07002-5060

Practice Phone: 201-339-8803
Practice Fax: 201-339-1101

Directions to “ DR. IMMACULATE ORLANDO DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.