Active NPI
Peak Performance of Union
Doing business as Tenafly Physical Medicine
- Chiropractor
- Tenafly, NJ
National Provider Identifier
1023541802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00191300
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryLocations
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.