Organization Active NPI

Peak Performance of Union

Doing business as Tenafly Physical Medicine

  • Chiropractor
  • Tenafly, NJ
National Provider Identifier
1023541802
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00191300 Issued in NJ
Legal business name
PEAK PERFORMANCE OF UNION
Doing business as
Tenafly Physical Medicine
Practice address
103 N Summit St
Tenafly, NJ 07670-1036
Phone
(201) 627-8500
Fax
(201) 627-8501
NPI assigned
Apr 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Dr. Mark Goldstein, D.C.
Title
President
Phone
(917) 533-3197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00191300 NJ Primary

Addresses

Primary practice location

103 N Summit St
Tenafly, NJ 07670-1036

Mailing address

103 N Summit St
Tenafly, NJ 07670-1036
Phone (201) 627-8500

Other names 1

  • Tenafly Physical Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

103 N Summit St
Tenafly, NJ 07670
Phone (201) 227-1366

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1023541802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N SUMMIT ST",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701036",
            "telephone_number": "201-627-8500",
            "fax_number": "201-627-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N SUMMIT ST",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701036",
            "telephone_number": "201-627-8500",
            "fax_number": "201-627-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE OF UNION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-533-3197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00191300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tenafly Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tenafly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.