Healthcare Provider Details

I. General information

NPI: 1114750270
Provider Name (Legal Business Name): ALLCARE HEALTH & PAIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2024
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 NEWARK AVE STE 201
JERSEY CITY NJ
07306-1348
US

IV. Provider business mailing address

550 NEWARK AVE STE 201
JERSEY CITY NJ
07306-1348
US

V. Phone/Fax

Practice location:
  • Phone: 201-386-8800
  • Fax: 201-386-8801
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: EN-CHIA JAMES LIU
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 201-386-9800