Lakewood Wellness Center, LLC
Chiropractor in Lakewood, NJ. Organization (NPI-2).
NPI number1114097367
StatusActive
Last updated in NPPESOct 17, 2008
Details
- NPI
- 1114097367
- Entity type
- Organization (NPI-2)
- Legal business name
- Lakewood Wellness Center, LLC
- Organization subpart
- No
- Enumeration date
- Nov 8, 2006
- Last updated
- Oct 17, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00649200 | NJ | Yes |
Practice location
1700 Madison AveLakewood, NJ 08701-1253
Phone 732-363-7900
Mailing address
1700 Madison AveLakewood, NJ 08701-1253
Phone 732-363-7900
Authorized official
Stuart Jeffrey Podob
President
7323637900
Is something wrong?
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