Active NPIOrganization

Park Place Chiropractic And Rehabilitation

Chiropractor, Rehabilitation in Newark, New Jersey

NPI Number1285079590
Practice location
17 Academy St, Newark, NJ 07102-2923
Fax
973-824-5454
Last updated
May 1, 2013

Park Place Chiropractic And Rehabilitation is a healthcare organization based in Newark, NJ. Park Place Chiropractic And Rehabilitation practices in Newark, NJ. The NPI Number for Park Place Chiropractic And Rehabilitation is 1285079590 and holds a License No. 38MCOO326000 (NJ). The current practice location address for Park Place Chiropractic And Rehabilitation is 17 Academy St, Newark, NJ 07102-2923 and can be reached out via phone at 973-824-2225 and via fax at 973-824-5454.

Provider Profile Details

NPI Number
1285079590
Provider Name
Park Place Chiropractic And Rehabilitation
Provider Entity Type
Organization
Address
17 Academy St, Newark, NJ 07102-2923
Phone Number
973-824-2225
Fax Number
973-824-5454
Primary Taxonomy
Chiropractor, Rehabilitation · 111NR0400X
Organization Subpart
No
Authorized Official
Dr. Gary Stepan Bozian, DC · President · 973-824-2225
Provider Enumeration Date
May 1, 2013
Last Update Date
May 1, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Academy St
Newark, NJ 07102-2923
City
Newark
Zip
07102-2923
Phone Number
973-824-2225
Fax Number
973-824-5454
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
17 Academy St
Newark, NJ 07102-2923
City
Newark
State
NJ
Zip
07102-2923
Phone Number
973-824-2225
Fax Number
973-824-5454

License Information

License Number (1)
38MCOO326000
License State (1)
NJ
Taxonomy (1)
Clinic/Center · 261Q00000X
License Number (2)
Mc03260
License State (2)
NJ
Taxonomy (2)
Chiropractor, Rehabilitation · 111NR0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Park Place Chiropractic And Rehabilitation?

The NPI number of Park Place Chiropractic And Rehabilitation is 1285079590. It was assigned on May 1, 2013 and is currently active in the NPPES registry.

What is the specialty of Park Place Chiropractic And Rehabilitation?

Park Place Chiropractic And Rehabilitation is registered under the primary taxonomy Chiropractor, Rehabilitation (code 111NR0400X), licensed in NJ under license number 38MCOO326000.

Where does Park Place Chiropractic And Rehabilitation practice?

The practice location is 17 Academy St, Newark, NJ 07102-2923. The office can be reached at 973-824-2225 (phone) or 973-824-5454 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285079590 directly on the NPPES registry website.

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