PURE LIFE CHIROPRACTIC (NPI# 1689736811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689736811 |
| Entity Type | Organization |
| Organization Name | PURE LIFE CHIROPRACTIC |
| Practice Address |
16 Watsessing Ave Bloomfield NJ 07003 |
| Mailing Address |
81 Glenroy Rd East Fairfield NJ 07004 |
| Practice Telephone | 9737683651 |
| Mailing Telephone | 9737683651 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT ROSANIA JR. (CHIROPRACTOR) |
| Authorized Official Telephone | 9737683651 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 38MC00648300 | NJ | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | SOCIAL SECURITY NUMBER | $$$$$$$$$ | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Pure Life Chiropractic & Wellness, PC | 695 S Colorado Blvd #260, Denver, CO 80246 |
| Vermont Business Registrations | PURE LIFE CHIROPRACTIC VT, LLC | 49 Brigham St, Morrisville, VT 05661 |
| Oregon Corporations, Companies and Business Names | PURE LIFE CHIROPRACTIC, LLC | 1400 Valley River Drive #260, Eugene, OR 97401 |
| Street Address |
16 WATSESSING AVE |
| City | BLOOMFIELD |
| State | NJ |
| Zip Code | 07003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134281330 | Robert Rosania Jr. | Chiropractor | 16 Watsessing Ave, Bloomfield, NJ 07003 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560501 | Delores Heart,llc | Respite Care | Delores Heart, 17 Dodd St. Ste A5, Bloomfield, NJ 07003 | 2020-05-21 |
| 1235798505 | Tina Rivera | Physical Therapy Assistant | A Team Approach, Pt 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2019-06-11 |
| 1144709239 | Jennifer Stuart | Social Worker | 27 Park Place, Apt. 13, Bloomfield, NJ 07003 | 2018-08-09 |
| 1992212179 | Kristina Camille P Manapat | Student in an Organized Health Care Education/Training Program | 1690 Broad St., Bloomfield, NJ 07003 | 2018-01-09 |
| 1760993224 | Vivian Arroyo | Counselor | 76 Baldwin Pl, Bloomfield, NJ 07003 | 2017-10-23 |
| 1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
| 1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
| 1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
| 1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
| 1578091872 | Janice M. Steel | Physical Therapy Assistant | 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2017-05-31 |
| Find all providers in zip 07003 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1851922579 | Emmanuel Fequiere Larose | Point of Service | 173 Norman Rd, Newark, NJ 07106-3309 | 2020-01-31 |
| 1487119905 | Tripoint Medical Care | Point of Service | 680 Broadway Ste 506, Paterson, NJ 07514-1530 | 2019-02-08 |
| 1740776301 | Victoria Vanzetta | Point of Service | 22 Crag Pl, Ringwood, NJ 07456-1814 | 2018-07-07 |
| 1316486053 | Penny M Beil | Point of Service | 371 N Beverwyck Rd, Parsippany, NJ 07054-1537 | 2017-02-14 |
| 1184166373 | Saunders Music Studio, LLC | Point of Service | 214 Maxwell Ave, Hightstown, NJ 08520-3229 | 2016-11-06 |
| 1437600574 | Ferry St Chiropractic and Physical Therapy | Point of Service | 236 Ferry St, Newark, NJ 07105-5401 | 2016-10-24 |
| 1386192706 | Bai Li Medical Health Center | Point of Service | 171 Ridgedale Ave., Ste. 1f, Florham Park, NJ 07932 | 2016-09-14 |
| 1053868513 | Feroza Hossain, Inc | Point of Service | 256 Bunn Drive, Suite 3a, Princeton, NJ 08540 | 2016-09-01 |
| 1801340567 | Independence: A Family of Services, Inc. | Point of Service | 15 Smalley Ter, Irvington, NJ 07111-3808 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD |
| Zip Code | 07003 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.