Healthcare Provider Details

I. General information

NPI: 1134430390
Provider Name (Legal Business Name): ADVANCED REHABILITATION AND WELLNESS CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2010
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 CLIFTON AVE STE 105
CLIFTON NJ
07013-3643
US

IV. Provider business mailing address

1135 CLIFTON AVE STE 105
CLIFTON NJ
07013-3643
US

V. Phone/Fax

Practice location:
  • Phone: 973-928-3575
  • Fax: 973-928-3574
Mailing address:
  • Phone: 973-928-3575
  • Fax: 973-928-3574

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
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANK ANDERSON
Title or Position: PRESIDENT
Credential: DC
Phone: 973-928-3575