Organization Active NPI

Marshall Chiropractic, L.L.C

  • Chiropractor
  • Clifton, NJ
National Provider Identifier
1023297645
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00508700 Issued in NJ
Legal business name
MARSHALL CHIROPRACTIC, L.L.C
Practice address
1195 Main Ave
Clifton, NJ 07011-2252
Phone
(973) 772-7676
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Dr. James A. Marshall, D.C.NPI 1952406696
Title
Chiropractor
Phone
(973) 772-7676

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 38MC00508700 NJ Primary

Addresses

Primary practice location

1195 Main Ave
Clifton, NJ 07011-2252

Mailing address

1195 Main Ave
Clifton, NJ 07011-2242
Phone (973) 772-7676

Other practice location 1

567 Park Ave
Paterson, NJ 07504-1006
Phone (973) 742-2064

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060308000341 NJ Part B Supplier - Clinic/Group Practice 4880601384 Receives reassigned benefits from 2 practitioners
Practice locations: Clifton, NJ

National Provider Directory

National Provider Directory

Locations

1195 Main Ave
Clifton, NJ 07011
Phone (201) 993-9287

567 Park Ave
Paterson, NJ 07504
Phone (973) 742-2064

Practitioners & affiliated clinicians

Practitioners 7

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": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1023297645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112242",
            "telephone_number": "973-772-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112252",
            "telephone_number": "973-772-7676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "567 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075041006",
            "country_code": "US",
            "telephone_number": "973-742-2064",
            "fax_number": "973-742-0694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARSHALL CHIROPRACTIC, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "973-772-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00508700",
            "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 Feb 1, 2024; 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.