IMMACULATE CHIROPRACTIC PLLC
NPI 1043102445
Clinic/Center - Rehabilitation in Bayonne, NJ
About Immaculate Chiropractic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMMACULATE CHIROPRACTIC PLLC (NPI 1043102445) is a healthcare organization registered as a rehabilitation in Bayonne, New Jersey and active in the NPI registry since July 2025. The organization lists Immaculate Orlando, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Immaculate Chiropractic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Immaculate Chiropractic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Immaculate Chiropractic PLLC's NPI number?
The NPI number for Immaculate Chiropractic PLLC is 1043102445. It was assigned to this organization in the NPPES registry on July 18, 2025.
Where is Immaculate Chiropractic PLLC located?
Immaculate Chiropractic PLLC is located at 10 W 46th St, Bayonne, NJ 07002. The listed phone number is (516) 388-8960.
What is Immaculate Chiropractic PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.
Is Immaculate Chiropractic PLLC enrolled in Medicare?
Yes. Immaculate Chiropractic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Immaculate Chiropractic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Immaculate Chiropractic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Immaculate Chiropractic PLLC was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Immaculate Chiropractic Pllc · NPI 1043102445
Rehabilitation organization in Bayonne, New Jersey. Organization record, active in the CMS NPPES registry since July 18, 2025.
## Identity
- **NPI:** 1043102445 (Entity type: Organization)
- **Enumerated:** July 18, 2025
- **Primary specialty:** Clinic/Center - Rehabilitation · taxonomy 261QR0400X
- **Organization subpart:** No
- **Authorized official:** Immaculate Orlando, OWNER
## Practice location
- **Address:** 10 W 46TH ST, Bayonne, NJ 07002-4003
- **Phone:** (516) 388-8960 · **Fax:** (201) 437-1572
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1043102445) · Data from the CMS NPPES public registry.