HACKENSACK HOLISTIC HEALTH CARE PA
NPI 1639190721
Chiropractor in Rochelle Park, NJ

NPI Status: Active since July 22, 2006

Contact Information

221 W PASSAIC ST
ROCHELLE PARK, NJ
ZIP 07662
Phone: (201) 843-3366
Fax: (201) 843-0331

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  • Organization
  • Chiropractor
  • CLIA Number: 31D0112465
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-10-2026

About HACKENSACK HOLISTIC HEALTH CARE PA

This page provides the complete NPI Profile along with additional information for Hackensack Holistic Health Care Pa, a provider established in Rochelle Park, New Jersey operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1639190721 assigned on July 2006. The practitioner's primary taxonomy code is 111N00000X with license number 38MC00286900 (NJ). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Wayne B Gibbons D.c. (President)

NPI
1639190721
Provider Name
HACKENSACK HOLISTIC HEALTH CARE PA
Entity Type
Organization
Location Address
221 W PASSAIC ST ROCHELLE PARK, NJ 07662
Location Phone
(201) 843-3366
Location Fax
(201) 843-0331
Mailing Address
221 W PASSAIC ST ROCHELLE PARK, NJ 07662
Mailing Phone
(201) 843-3366
Mailing Fax
(201) 843-0331
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2006
Last Update Date
08-22-2020
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A chiropractor like Hackensack Holistic Health Care Pa helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Chiropractor

Taxonomy Code
111N00000X
Type
Chiropractic Providers
License No.
38MC00286900
License State
NJ
Taxonomy Description
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. WAYNE B GIBBONS D.C.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(201) 843-3366

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D0112465
Facility Type
Physician Office
Certificate Effective Date
May 11, 2024
Certificate Expiration Date
May 10, 2026
Laboratory Director
MAGNA PASTRANO LLUBERES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Hackensack Holistic Health Care Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639190721
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266929074
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 9 + 0 + 7 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1639190721 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588624746DR. ALAN LEONARD RUBIN DMD
Individual
Dentist (General Practice)221 W PASSAIC ST
ROCHELLE PARK, NJ 07662
(201) 843-2278
1114971447DR. WAYNE B GIBBONS D.C
Individual
Acupuncturist221 W PASSAIC ST
ROCHELLE PARK, NJ 07662
(201) 843-3366
1447399159 CHRISTINE GIBBONS M.S., C.A.
Individual
Acupuncturist221 W PASSAIC ST
ROCHELLE PARK, NJ 07662
(201) 843-3366
1467808642 MARISSA LIZA L.AC
Individual
Acupuncturist221 W PASSAIC ST
ROCHELLE PARK, NJ 07662
(201) 843-3633

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639190721, enumerated in the NPI registry as an "organization" on July 22, 2006

The provider is located at 221 W Passaic St Rochelle Park, Nj 07662 and the phone number is (201) 843-3366

This medical organization specializes in Chiropractor with taxonomy code 111N00000X

The provider's CLIA number is 31D0112465 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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