Active NPIOrganization

Spine Specialist

Chiropractor, Neurology in Clifton, New Jersey

NPI Number1407165111
Practice location
1187 Main Ave Ste 1D, Clifton, NJ 07011-2252
Fax
888-373-2114
Last updated
May 4, 2020

Spine Specialist is a healthcare organization based in Clifton, NJ. Spine Specialist practices in Clifton, NJ. The NPI Number for Spine Specialist is 1407165111 and holds a License No. X0116921 (NY). The current practice location address for Spine Specialist is 1187 Main Ave Ste 1D, Clifton, NJ 07011-2252 and can be reached out via phone at 973-742-0927 and via fax at 888-373-2114.

Provider Profile Details

NPI Number
1407165111
Provider Name
Spine Specialist
Provider Entity Type
Organization
Address
1187 Main Ave Ste 1D, Clifton, NJ 07011-2252
Phone Number
973-742-0927
Fax Number
888-373-2114
Primary Taxonomy
Chiropractor, Neurology · 111NN0400X
Organization Subpart
No
Authorized Official
Marco Antonio Lopez, DC · Doctor/Owner · 973-742-0927
Provider Enumeration Date
September 29, 2010
Last Update Date
May 4, 2020
Certification Date
May 4, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1187 Main Ave Ste 1D
Clifton, NJ 07011-2252
Zip
07011-2252
Phone Number
973-742-0927
Fax Number
888-373-2114
Clifton, NJ 07011Get directions →

Provider Business Mailing Address Details

Address
Po Box 7036
West Orange, NJ 07052-7036
City
West Orange
State
NJ
Zip
07052-7036
Phone Number
973-742-0927
Fax Number
888-373-2114

License Information

License Number (1)
X0116921
License State (1)
NY
Taxonomy (1)
Chiropractor, Neurology · 111NN0400X
License Number (2)
38MC00673900
License State (2)
NJ
Taxonomy (2)
Chiropractor, Neurology · 111NN0400X · 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 Spine Specialist?

The NPI number of Spine Specialist is 1407165111. It was assigned on September 29, 2010 and is currently active in the NPPES registry.

What is the specialty of Spine Specialist?

Spine Specialist is registered under the primary taxonomy Chiropractor, Neurology (code 111NN0400X), licensed in NY under license number X0116921.

Where does Spine Specialist practice?

The practice location is 1187 Main Ave Ste 1D, Clifton, NJ 07011-2252. The office can be reached at 973-742-0927 (phone) or 888-373-2114 (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 1407165111 directly on the NPPES registry website.

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