Healthcare Provider Details

I. General information

NPI: 1770909509
Provider Name (Legal Business Name): ADVANCED CHIROPRACTIC REHAB CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2014
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 BLOOMFIELD AVE SUITE L21
CALDWELL NJ
07006-5550
US

IV. Provider business mailing address

519 BLOOMFIELD AVE SUITE L21
CALDWELL NJ
07006-5550
US

V. Phone/Fax

Practice location:
  • Phone: 973-228-8600
  • Fax:
Mailing address:
  • Phone: 973-228-8600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIELLA MARIE D'ALESSIO
Title or Position: OWNER
Credential: D.C.
Phone: 973-228-8600