Organization Active NPI

Ferry Pain & Rehab Center

  • Clinic/Center
  • Newark, NJ
National Provider Identifier
1043588569
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
38MC00235500 Issued in NJ
Legal business name
FERRY PAIN & REHAB CENTER
Practice address
128 Ferry St
Newark, NJ 07105-2115
Phone
(973) 344-0129
Fax
(973) 344-0243
NPI assigned
Dec 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Dr. David G. Harris, DC
Title
Chiropractic Physician
Phone
(973) 344-0129

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 38MC00508400 NJ
Clinic/Center 261Q00000X 38MC00235500 NJ Primary

Addresses

Primary practice location

128 Ferry St
Newark, NJ 07105-2115

Mailing address

128 Ferry St
Newark, NJ 07105-2115
Phone (973) 344-0129

National Provider Directory

National Provider Directory

Locations

128 Ferry St
Newark, NJ 07105
Phone (973) 344-0012

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1043588569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052115",
            "telephone_number": "973-344-0129",
            "fax_number": "973-344-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052115",
            "telephone_number": "973-344-0129",
            "fax_number": "973-344-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERRY PAIN & REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "973-344-0129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "38MC00508400",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "38MC00235500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.