MEDICARE: THE WELLNESS INSTITUTE 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	111N00000X	Chiropractor	38MC00502900	NJ

General Provider Information

NPI Number	:	1902970155
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE WELLNESS INSTITUTE PC

Provider Business Mailing Address
First Line	:	120 LEFANTE WAY STE 1
Second Line	:
City	:	BAYONNE
State	:	NJ
Zip	:	07002-5060
Country	:	US
Telephone Number	:	201-858-4444
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 LEFANTE WAY STE 1
Second Line	:
City	:	BAYONNE
State	:	NJ
Zip	:	07002-5060
Country	:	US
Telephone Number	:	201-858-4444
Fax Number	:	201-858-4049

Authorized Official
Title or Position	:	CEO PRESIDENT
Name	:	DR. MICHAEL JOHN ACANFORA
Credential	:	D.C.
Telephone Number	:	201-858-0444

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	10/25/2021

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Directions to “THE WELLNESS INSTITUTE PC ” Practice Location

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