MEDICARE: DR. WAYNE R BROWN D.C., D.A.A.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	38MC00402300	NJ

General Provider Information

NPI Number	:	1417975004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WAYNE R BROWN D.C., D.A.A.P.M.

Provider Business Mailing Address
First Line	:	240 EAGLE ROCK AVE
Second Line	:
City	:	WEST ORANGE
State	:	NJ
Zip	:	07052-5009
Country	:	US
Telephone Number	:	973-783-1800
Fax Number	:	973-783-1980

Provider Business Practice Location Address
First Line	:	70 PARK ST
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-5907
Country	:	US
Telephone Number	:	973-783-1800
Fax Number	:	973-783-1980

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	09/25/2025

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