Healthcare Provider Details

I. General information

NPI: 1508280470
Provider Name (Legal Business Name): GOLD'S CHIROPRACTIC & WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2014
Last Update Date: 08/28/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 WALSH DRIVE SUITE 200
PARSIPPANY NJ
07054
US

IV. Provider business mailing address

PO BOX 104
EAST HANOVER NJ
07936
US

V. Phone/Fax

Practice location:
  • Phone: 973-884-3400
  • Fax: 973-884-0146
Mailing address:
  • Phone: 973-884-3400
  • Fax: 973-884-0146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER CARROLL
Title or Position: OFFICE REP
Credential:
Phone: 833-789-3227