INTEGRATIVE WELLNESS CENTER, P.A. (NPI# 1942429238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942429238 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE WELLNESS CENTER, P.A. |
| Practice Address |
164 Brighton Rd Clifton NJ 07012-1400 |
| Practice Telephone | 9737732500 |
| Practice Fax Number | 9737730508 |
| Mailing Telephone | 9737732500 |
| Mailing Fax Number | 9737730508 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ALBERT J POGORELEC JR. (OWNER) |
| Authorized Official Telephone | 9737732500 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 204D00000X | Neuromusculoskeletal Medicine & OMM | 25MB07663200 | NJ | Allopathic & Osteopathic Physicians |
| X | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
25MB07663200 | NJ | Allopathic & Osteopathic Physicians |
| X | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
25MB07663200 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
164 BRIGHTON RD |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07012-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942397104 | Premier Endoscopy, LLC | Clinic/Center | 164 Brighton Rd, Clifton, NJ 07012-1400 | 2006-10-09 |
| 1528539087 | Clifton Spine & Physical Therapy, LLC | Chiropractor | 164 Brighton Rd, Clifton, NJ 07012-1400 | 2018-12-10 |
| 1063766996 | Halina Krutak-krol, Md LLC | Internal Medicine | 164 Brighton Rd, Clifton, NJ 07012-1400 | 2012-10-30 |
| 1043346505 | Ryszard Krol, M.d. LLC | Internal Medicine | 164 Brighton Rd, Clifton, NJ 07012-1400 | 2007-02-26 |
| 1750463741 | Ryszard Krol | Internal Medicine | 164 Brighton Rd, Clifton, NJ 07012-1400 | 2006-10-19 |
| 1558459487 | Albert Joseph Pogorelec Jr. | Neuromusculoskeletal Medicine & OMM | 164 Brighton Rd, Clifton, NJ 07012-1400 | 2006-10-10 |
| 1376631200 | Maria K Jinks | Chiropractor | 164 Brighton Rd, Clifton, NJ 07012-1400 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428307 | Sofia Konvitz | Behavioral Analyst | 743 Passaic Ave, Suite 109, Clifton, NJ 07012 | 2016-03-07 |
| 1881065118 | Renita Farkas I | Registered Nurse | 777 Bloomfield Avenue, Clifton, NJ 07012 | 2015-10-13 |
| 1619374402 | Lorraine Brenner | Dentist | 1053 Bloomfield Ave Ste 14, Clifton, NJ 07012 | 2014-11-23 |
| 1861897878 | Melissa Langewisch | General Acute Care Hospital | 3 Englewood Road, Clifton, NJ 07012 | 2014-11-03 |
| 1043637192 | Fadwa Sumrein | Internal Medicine | 2 Brighton Rd Ste 400, Clifton, NJ 07012 | 2014-03-26 |
| 1386067841 | Rita Mary Grazulis | Dentist | 91 Nugent Drive, Clifton, NJ 07012 | 2014-02-03 |
| 1366721573 | John P Castronova | Dentist | 79 Ave U, Brooklyn, NJ 07012 | 2011-08-05 |
| 1477849164 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 550 Allwood Rd, Clifton, NJ 07012 | 2011-06-22 |
| 1487805784 | Dron Gauchan | Internal Medicine | 74a Richfield Ct, Clifton, NJ 07012 | 2008-10-05 |
| 1497930283 | Coreen Christie | Counselor | 777 Bloomfiled Ave, Suite B, Clifton, NJ 07012 | 2007-12-31 |
| Find all providers in zip 07012 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558459487 | Albert Joseph Pogorelec Jr. | Neuromusculoskeletal Medicine & OMM | 164 Brighton Rd, Clifton, NJ 07012-1400 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487982583 | Charles Steiner Inc. | Neuromusculoskeletal Medicine & OMM | 467 Valley St, L-h, Maplewood, NJ 07040-1306 | 2009-12-01 |
| 1235361320 | Olha Sokhan | Neuromusculoskeletal Medicine & OMM | 210 Fairview Ave, Rutherford, NJ 07070-1651 | 2009-08-21 |
| 1922202738 | Robert B Kelly | Neuromusculoskeletal Medicine & OMM | 823 Lacey Rd, Forked River, NJ 08731-1203 | 2007-06-14 |
| 1174742704 | Shawn Tepper-levine | Neuromusculoskeletal Medicine & OMM | 20 Heathcote Road, Kingston, NJ 08528-0142 | 2007-04-24 |
| 1366401945 | Abraham D. Morganoff | Neuromusculoskeletal Medicine & OMM | 5 Mountain Blvd, Warren, NJ 07059-5650 | 2006-03-21 |
| 1215902325 | John A Infantolino | Neuromusculoskeletal Medicine & OMM | 5 Princeton Ave, Brick, NJ 08724-3515 | 2006-02-22 |
| 1851390199 | Mark Maccollom Morris | Neuromusculoskeletal Medicine & OMM | 26 Millburn Ave, Springfield, NJ 07081-1071 | 2005-07-19 |
| 1942615059 | Catherine Mary Fusco | Neuromusculoskeletal Medicine & OMM | 42 E Laurel Rd Ste 1700, Stratford, NJ 08084-1354 | 2014-06-26 |
| 1487996062 | Dorothy Marie Klingmeyer | Neuromusculoskeletal Medicine & OMM | 435 South St, Suite 220a, Morristown, NJ 07960-6422 | 2013-03-21 |
| 1750628160 | Physical Medicine and Rehabilitation Services | Neuromusculoskeletal Medicine & OMM | 191 Palisade Ave, Jersey City, NJ 07306-1112 | 2013-01-07 |
| Find all providers with the same taxonomy | ||||
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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.