Kennedy Wellness Center Corp
Chiropractor in Union City, NJ. Organization (NPI-2).
NPI number1992045389
StatusActive
Last updated in NPPESSep 21, 2022
Details
- NPI
- 1992045389
- Entity type
- Organization (NPI-2)
- Legal business name
- Kennedy Wellness Center Corp
- Organization subpart
- No
- Enumeration date
- Feb 21, 2013
- Certification date
- Sep 21, 2022
- Last updated
- Sep 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- 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 | 38MC00695200 | NJ | Yes |
Practice location
400 38th StreetSuite 302
Union City, NJ 07087
Phone 201-766-8222 · Fax 201-766-8221
Mailing address
400 38th StreetSuite 302
Union City, NJ 07087
Phone 201-766-8222 · Fax 201-766-8221
Authorized official
Philip Estrada
Doctor/Owner
2017668222
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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