Healthcare Provider Details
I. General information
NPI: 1477764884
Provider Name (Legal Business Name): ATLANTIS HEALTH AND WELLNESS PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/25/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 PLAZA DR HARMON MEADOW PLAZA
SECAUCUS NJ
07094
US
IV. Provider business mailing address
600 PLAZA DR HARMON MEADOW PLAZA
SECAUCUS NJ
07094
US
V. Phone/Fax
- Phone: 201-271-1992
- Fax: 201-271-7640
- Phone: 201-271-1992
- Fax: 201-271-7640
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 | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPH
D
SALAMONE
Title or Position: CO OWNER
Credential: DC
Phone: 201-271-1992