Healthcare Provider Details

I. General information

NPI: 1033248307
Provider Name (Legal Business Name): BAYONNE HEALTH AND WELLNESS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 KENNEDY BLVD
BAYONNE NJ
07002-3128
US

IV. Provider business mailing address

1160 KENNEDY BLVD
BAYONNE NJ
07002-3128
US

V. Phone/Fax

Practice location:
  • Phone: 201-823-0303
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number38MCOO234100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MCOO232600
License Number StateNJ

VIII. Authorized Official

Name: DR. RICHARD MACZUGA
Title or Position: VICE-PRESIDENT
Credential: DC
Phone: 201-823-0303