WOODBURY PHYSICAL MEDICINE, LLC
NPI 1053354878
Chiropractor in Woodbury, NJ

Active since June 13, 2006
223 S EVERGREEN AVE, WOODBURY, NJ 08096(856) 848-1515(856) 845-7753 Get Directions Write a Review

NPPES record last updated: December 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Woodbury Physical Medicine, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOODBURY PHYSICAL MEDICINE, LLC (NPI 1053354878) is a healthcare organization registered as a chiropractor in Woodbury, New Jersey and active in the NPI registry since June 2006. The organization lists Guy David Pistilli, Manager, as its authorized official.

NPPES Registry Identity

NPI1053354878
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWOODBURY PHYSICAL MEDICINE, LLC
Location Address223 S EVERGREEN AVEWoodbury, NJ 08096-2713
Mailing Address223 South Evergreen AvenueWoodbury, NJ 08096-2713 · (856) 848-1515 · Fax (856) 845-7753
Fax(856) 845-7753
Organization SubpartNo
Authorized OfficialGuy David PistilliManager · (856) 848-1515
Enumeration DateJune 13, 2006
Last NPPES UpdateDecember 19, 2012
NPI 1053354878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NJ · 38MC00365600
Definition
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.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 25MA03618000 (NJ)
Also ListedPhysical TherapistTaxonomy 225100000X · License 40QA00966600 (NJ)
223 S EVERGREEN AVE, Woodbury, NJ 08096

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
223 S EVERGREEN AVE
WOODBURY, NJ 08096
Internal Medicine
223 S EVERGREEN AVE
WOODBURY, NJ 08096

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 Woodbury Physical Medicine, LLC's NPI number?

The NPI number for Woodbury Physical Medicine, LLC is 1053354878. It was assigned to this organization in the NPPES registry on June 13, 2006.

Where is Woodbury Physical Medicine, LLC located?

Woodbury Physical Medicine, LLC is located at 223 S Evergreen Ave, Woodbury, NJ 08096. The listed phone number is (856) 848-1515.

What is Woodbury Physical Medicine, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Woodbury Physical Medicine, LLC was last updated on December 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.