Healthcare Provider Details
I. General information
NPI: 1306698501
Provider Name (Legal Business Name): PURE MOTION - CHIROPRACTIC AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/02/2024
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
66 YORK ST
JERSEY CITY NJ
07302-3838
US
IV. Provider business mailing address
55 68TH ST APT 3C
GUTTENBERG NJ
07093-4497
US
V. Phone/Fax
- Phone: 201-383-5584
- Fax:
- Phone: 719-623-9509
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELENA
PIROZHKOV
Title or Position: DOCTOR, OWNER
Credential: DC
Phone: 201-383-5584