KENNEDY WELLNESS CENTER CORP
NPI 1992045389
Chiropractor in Union City, NJ

Q: What is Kennedy Wellness Center Corp's NPI number?

The NPI number for Kennedy Wellness Center Corp is 1992045389. It was assigned to this organization in the NPPES registry on February 21, 2013.

Q: What is Kennedy Wellness Center Corp's specialty?

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

Active since February 21, 2013

400 38TH STREET, SUITE 302, UNION CITY, NJ 07087(201) 766-8222(201) 766-8221 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 21, 2022, Mar 4, 2020 (2 updates tracked since 2020).

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About Kennedy Wellness Center Corp NPPES

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

KENNEDY WELLNESS CENTER CORP (NPI 1992045389) is a healthcare organization registered as a chiropractor in Union City, New Jersey and active in the NPI registry since February 2013. The organization lists Philip Estrada, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1992045389

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameKENNEDY WELLNESS CENTER CORP

Location Address400 38TH STREET, SUITE 302Union City, NJ 07087

Mailing Address400 38th Street, Suite 302Union City, NJ 07087 · (201) 766-8222 · Fax (201) 766-8221

Phone(201) 766-8222

Fax(201) 766-8221

Organization SubpartNo

Authorized OfficialPhilip EstradaDoctor/owner · (201) 766-8222

Enumeration DateFebruary 21, 2013

Last NPPES UpdateSeptember 21, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2022

✔ NPI 1992045389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NJ · 38MC00695200

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.

400 38TH STREET, Union City, NJ 07087

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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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kennedy Wellness Center Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNew JerseyEnrollment IDO20130321000111Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kennedy Wellness Center Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Philip Estrada, D.C.

Chiropractic

NPI 1598753592

400 38TH STREET SUITE 302
Union City, NJ 07087

(201) 766-8222

Same address

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 Kennedy Wellness Center Corp's NPI number?

The NPI number for Kennedy Wellness Center Corp is 1992045389. It was assigned to this organization in the NPPES registry on February 21, 2013.

Where is Kennedy Wellness Center Corp located?

Kennedy Wellness Center Corp is located at 400 38th Street Suite 302, Union City, NJ 07087. The listed phone number is (201) 766-8222.

What is Kennedy Wellness Center Corp's specialty?

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

Is Kennedy Wellness Center Corp enrolled in Medicare?

Yes. Kennedy Wellness Center Corp is registered in the Medicare PECOS enrollment system.

When is Kennedy Wellness Center Corp's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kennedy Wellness Center Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Kennedy Wellness Center Corp. 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 Kennedy Wellness Center Corp was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.