Organization Active NPI

Kyle R. Eopechino, LLC.

  • Chiropractor
  • Clifton, NJ
National Provider Identifier
1013232784
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00639200 Issued in NJ
Legal business name
KYLE R. EOPECHINO, LLC.
Practice address
50 Mount Prospect Avenue
Suite 205
Clifton, NJ 07013
Phone
(973) 777-2822
Fax
(973) 472-1420
NPI assigned
Apr 6, 2010
Organization subpart
Yes
Parent organization
KYLE R. EOPECHINO, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Dr. Kyle Richard Eopechino, D.C.NPI 1467496117
Title
President
Phone
(973) 777-2822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00639200 NJ Primary

Addresses

Primary practice location

50 Mount Prospect Avenue
Suite 205
Clifton, NJ 07013

Mailing address

50 Mount Prospect Ave
Suite 205
Clifton, NJ 07013-1900
Phone (973) 777-2822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100909000733 NJ Part B Supplier - Clinic/Group Practice 3476678756 Receives reassigned benefits from 2 practitioners
Practice locations: Little Falls, NJ

National Provider Directory

National Provider Directory
Part of
Kyle R Eopechino LLC

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1013232784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MOUNT PROSPECT AVE",
            "address_2": "SUITE 205",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131900",
            "telephone_number": "973-777-2822",
            "fax_number": "973-472-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MOUNT PROSPECT AVENUE",
            "address_2": "SUITE 205",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07013",
            "telephone_number": "973-777-2822",
            "fax_number": "973-472-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE R. EOPECHINO, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KYLE R. EOPECHINO, LLC",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "EOPECHINO",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-777-2822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00639200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.