NPIMap

Organization Active NPI

New Urban Chiropractic Group

  • Chiropractor
  • Irvington, NJ
National Provider Identifier
1003043852
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00427700 Issued in NJ
Legal business name
NEW URBAN CHIROPRACTIC GROUP
Practice address
50 Union Ave
Suite # 705
Irvington, NJ 07111
Phone
(973) 371-2011
Fax
(973) 371-2062
NPI assigned
Jun 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kenneth Burgess
Title
Office Manager
Phone
(973) 371-2011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00427700 NJ Primary

Addresses

Primary practice location

50 Union Ave
Suite # 705
Irvington, NJ 07111

Mailing address

50 Union Ave
Suite # 705
Irvington, NJ 07111
Phone (973) 371-2011

National Provider Directory

National Provider Directory

Locations

50 Union Ave
Ste 705
Irvington, NJ 07111
Phone (973) 371-2011

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1003043852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 UNION AVE",
            "address_2": "SUITE # 705",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111",
            "telephone_number": "973-371-2011",
            "fax_number": "973-371-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 UNION AVE",
            "address_2": "SUITE # 705",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111",
            "telephone_number": "973-371-2011",
            "fax_number": "973-371-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW URBAN CHIROPRACTIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-371-2011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00427700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.