CHAMPION WELLNESS CENTER NPI 1336011477

NPI Information

  • NPI: 1336011477
  • Provider Name: CHAMPION WELLNESS CENTER
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: STE 2 95 MCKEE DRIVE
    MAHWAH, NJ
    ZIP 07430
  • Phone: (201) 642-4200

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NPI Details

CHAMPION WELLNESS CENTER is a chiropractor in Mahwah, NJ. The provider is 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. CHAMPION WELLNESS CENTER NPI is 1336011477. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

STE 2 95 MCKEE DRIVE
MAHWAH, NJ
ZIP 07430
Phone: (201) 642-4200

The provider's authorized official is Richard Rosen .
The authorized official title is Chiropractor and has the following contact phone number (201) 642-4200.

The enumeration date for this NPI number is 9/18/2025 and was last updated on 9/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225X00000XOccupational TherapistNo
2171100000XAcupuncturistNo
3225100000XPhysical TherapistNo
4111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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