Organization Active NPI

TJS Chiropractic, PC

  • Health Service Clinic/Center
  • Passaic, NJ
National Provider Identifier
1033483680
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
38MC00292200 Issued in NJ
Legal business name
TJS CHIROPRACTIC, PC
Practice address
180 Lexington Ave
Passaic, NJ 07055-6205
Phone
(973) 773-2244
Fax
(973) 472-8577
NPI assigned
Feb 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Dr. Thomas J Sidoti, D.C.NPI 1194770909
Title
President
Phone
(973) 773-2244

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
Health Service Clinic/Center 261QH0100X 38MC00292200 NJ Primary

Addresses

Primary practice location

180 Lexington Ave
Passaic, NJ 07055-6205

Mailing address

180 Lexington Ave
Passaic, NJ 07055-6205
Phone (973) 773-2244

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120312000043 NJ Part B Supplier - Clinic/Group Practice 9638338619 Receives reassigned benefits from 3 practitioners
Practice locations: Passaic, NJ

National Provider Directory

National Provider Directory

Locations

180 Lexington Ave
Passaic, NJ 07055
Phone (973) 773-2244

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1033483680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 LEXINGTON AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070556205",
            "telephone_number": "973-773-2244",
            "fax_number": "973-472-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 LEXINGTON AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070556205",
            "telephone_number": "973-773-2244",
            "fax_number": "973-472-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJS CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "SIDOTI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-773-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NJ",
            "license": "38MC00292200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.