NPIMap

Organization Active NPI

Burlington County Spine & Rehabilitation LLC

Doing business as Gloucester County Spine & Rehabilitation LLC

  • Chiropractor
  • Blackwood, NJ
National Provider Identifier
1033424213
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BURLINGTON COUNTY SPINE & REHABILITATION LLC
Doing business as
Gloucester County Spine & Rehabilitation LLC
Practice address
10 Woodlane Dr
Blackwood, NJ 08012-4507
Phone
(856) 228-2229
NPI assigned
Aug 12, 2010
Last updated
Aug 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Authorized official

Name
Eunice Wong
Title
Practice Administrator
Phone
(856) 235-0202

Specialties & licenses 1

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

Addresses

Primary practice location

10 Woodlane Dr
Blackwood, NJ 08012-4507

Mailing address

103 Masonville Rd
Mount Laurel, NJ 08054-1612
Phone (856) 235-0202

Other names 1

  • Gloucester County Spine & Rehabilitation LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Burlington County Spine Rehabilitation LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1033424213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MASONVILLE RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541612",
            "telephone_number": "856-235-0202",
            "fax_number": "856-235-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WOODLANE DR",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124507",
            "telephone_number": "856-228-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON COUNTY SPINE & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "856-235-0202"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gloucester County Spine & Rehabilitation LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blackwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.