Active NPI
Elliot Koziel, D.C.
- Chiropractor
- Fort Lee, NJ
National Provider Identifier
1003892415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1857
- Practice address
- 1355 15TH St
Suite 150
Fort Lee, NJ 07024-2039 - Phone
- (201) 592-1378
- Fax
- (201) 592-5948
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1857 | NJ | Primary |
Addresses
Primary practice location
1355 15TH St
Suite 150
Fort Lee, NJ 07024-2039
Mailing address
1355 15TH St
Suite 150
Fort Lee, NJ 07024-2039
Phone (201) 592-1378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1857 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227052800000",
"number": "1003892415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 15TH ST",
"address_2": "SUITE 150",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070242039",
"telephone_number": "201-592-1378",
"fax_number": "201-592-5948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 15TH ST",
"address_2": "SUITE 150",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070242039",
"telephone_number": "201-592-1378",
"fax_number": "201-592-5948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZIEL",
"first_name": "ELLIOT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2008-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "1857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.