MEDICARE: DYNAMIC CHIROPRACTIC CARE

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

General Provider Information

NPI Number	:	1467230888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DYNAMIC CHIROPRACTIC CARE

Provider Business Mailing Address
First Line	:	1161 RTE 23 STE 4
Second Line	:
City	:	KINNELON
State	:	NJ
Zip	:	07405-2015
Country	:	US
Telephone Number	:	973-259-6779
Fax Number	:	845-610-0065

Provider Business Practice Location Address
First Line	:	1161 RTE 23 STE 4
Second Line	:
City	:	KINNELON
State	:	NJ
Zip	:	07405-2015
Country	:	US
Telephone Number	:	973-259-6779
Fax Number	:	845-610-0065

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	ADAM COLANDREA
Credential	:	DC
Telephone Number	:	973-259-6779

Provider Enumeration Date	:	09/18/2023
Last Update Date	:	02/19/2026

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Directions to “DYNAMIC CHIROPRACTIC CARE ” Practice Location

Language	Start Address	Practice Location

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