Provider Demographics
NPI:1003209594
Name:CHIROPRACTIC WORKS OF WAYNE LLC
Entity type:Organization
Organization Name:CHIROPRACTIC WORKS OF WAYNE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR ASSOCIATE
Authorized Official - Prefix:
Authorized Official - First Name:CORTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARISO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-651-9100
Mailing Address - Street 1:9 POST RD STE OP1
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-1615
Mailing Address - Country:US
Mailing Address - Phone:201-651-9100
Mailing Address - Fax:
Practice Address - Street 1:1255 HAMBURG TPKE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-5071
Practice Address - Country:US
Practice Address - Phone:201-651-9100
Practice Address - Fax:845-241-5151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-09
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ38MC00763100OtherNJ LICENSE
NYX007465OtherLICENSE
NYX007130OtherNYS LICENSE