Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christian Wagner

Individual provider Chiropractor · NPI 1114798642

Christian Wagner is a Chiropractic in Clifton, New Jersey. Qualified in 2023, 3 years ago. Practices with Sportsmed PT LLC, a 214-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2024

Practice location Address checks out

1233 Main Ave
Clifton, NJ 07011-2241
Phone: (973) 604-0260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5665 John F. Kennedy Blvd, North Bergen, NJ 07047 — (973) 834-8586

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 38MC00801700 (NJ)

Record details

NPI number1114798642
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 12, 2024
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 11, 2024
Mailing address21 Stone Ct, Morristown, NJ 07960-3177

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sportsmed Pt Llc — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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