Healthcare Provider Details

I. General information

NPI: 1710814884
Provider Name (Legal Business Name): TOWN CHIROPRACTOR PARAMUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 NJ-17 SUITE 118C
PARAMUS NJ
07652
US

IV. Provider business mailing address

12 NJ-17 SUITE 118C
PARAMUS NJ
07652
US

V. Phone/Fax

Practice location:
  • Phone: 201-535-4145
  • Fax:
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 Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MR. SHALIN B PATEL
Title or Position: PROVIDER
Credential: DC
Phone: 516-708-3182