Provider Demographics
NPI:1598510430
Name:ELITE HEALTH & WELLNESS CENTER OF NJ, LLC
Entity type:Organization
Organization Name:ELITE HEALTH & WELLNESS CENTER OF NJ, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:315-868-3628
Mailing Address - Street 1:141 RTE 46 STE 102
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-4018
Mailing Address - Country:US
Mailing Address - Phone:973-928-8260
Mailing Address - Fax:973-928-8260
Practice Address - Street 1:141 RTE 46 STE 102
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-4018
Practice Address - Country:US
Practice Address - Phone:973-928-8260
Practice Address - Fax:973-928-8260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty