Provider Demographics
NPI:1487841003
Name:WESTFIELD HEALTH & REHABILITATION, LLC
Entity Type:Organization
Organization Name:WESTFIELD HEALTH & REHABILITATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:CARNUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-928-1000
Mailing Address - Street 1:222 NORTH AVE W
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-1495
Mailing Address - Country:US
Mailing Address - Phone:908-928-1000
Mailing Address - Fax:908-928-1001
Practice Address - Street 1:222 NORTH AVE W
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-1495
Practice Address - Country:US
Practice Address - Phone:908-928-1000
Practice Address - Fax:908-928-1001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-27
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00568900111N00000X, 111NR0400X
NJ40QA00838400225100000X
225100000X
NJ40QA00704900225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ40QA01898200Other1972136448