MEDICARE: AMAZING TOUCH REHABILITATION & WELLNESS CENTER PC

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	174400000X	Specialist	086814S66	NJ
2	111N00000X	Chiropractor	MC03948	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447389564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMAZING TOUCH REHABILITATION & WELLNESS CENTER PC

Provider Business Mailing Address
First Line	:	319 BARROW ST
Second Line	:	SUITE 1A
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-3578
Country	:	US
Telephone Number	:	201-433-2096
Fax Number	:

Provider Business Practice Location Address
First Line	:	319 BARROW ST
Second Line	:	SUITE 1A
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-3578
Country	:	US
Telephone Number	:	201-433-2096
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MANOLA ARGENTINA TEJADA
Credential	:	D.C.
Telephone Number	:	201-433-2096

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	05/14/2026

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