Active NPI
Advanced Spine and Wellness LLP
- Chiropractor
- Northvale, NJ
National Provider Identifier
1053772277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00724800
- Legal business name
- ADVANCED SPINE AND WELLNESS LLP
- Practice address
- 244 Livingston St
Suite D
Northvale, NJ 07647-1996 - Phone
- (201) 297-1700
- Fax
- (201) 297-1212
- NPI assigned
- Mar 15, 2016
- Last updated
- Aug 4, 2016
- 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. David Marshall Klayman, DC
- Title
- President
- Phone
- (201) 297-1700
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00724800 | NJ | Primary |
Addresses
Primary practice location
244 Livingston St
Suite D
Northvale, NJ 07647-1996
Mailing address
244 Livingston St
Suite D
Northvale, NJ 07647-1996
Phone (201) 297-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
244 Livingston St
Ste D
Northvale, NJ 07647
Phone (201) 297-1700
Practitioners & affiliated clinicians
Practitioners 1
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": "1458000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470268800000",
"number": "1053772277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 LIVINGSTON ST",
"address_2": "SUITE D",
"city": "NORTHVALE",
"state": "NJ",
"postal_code": "076471996",
"telephone_number": "201-297-1700",
"fax_number": "201-297-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 LIVINGSTON ST",
"address_2": "SUITE D",
"city": "NORTHVALE",
"state": "NJ",
"postal_code": "076471996",
"telephone_number": "201-297-1700",
"fax_number": "201-297-1212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED SPINE AND WELLNESS LLP",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-15",
"last_updated": "2016-08-04",
"status": "A",
"authorized_official_last_name": "KLAYMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "MARSHALL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-297-1700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00724800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northvale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.