Immaculate Orlando, DC
NPI 1083238216ActiveIndividual· Chiropractor· Bayonne, NJ
Chiropractor (DC) in Bayonne, New Jersey, licensed in NJ, with an NPI issued in June 2020. Enrolled in Medicare as practitioner - chiropractic.
Overview
| NPI | 1083238216 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DC |
| Sole proprietor | Yes |
| NPI issued | Jun 3, 2020 |
| Last updated in NPPES | Jun 2, 2026 |
| Certified by provider | Jun 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 38MC00495600 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (NJ) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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