Active NPI
Journal SQ Spine & Wellness Center LLC
- Chiropractor
- Jersey City, NJ
National Provider Identifier
1083256721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- JOURNAL SQ SPINE & WELLNESS CENTER LLC
- Practice address
- 35 Journal SQ Ste 502
Jersey City, NJ 07306-4007 - Phone
- (201) 763-7521
- Fax
- (201) 763-7393
- NPI assigned
- Oct 15, 2019
- Last updated
- Oct 15, 2019
- 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
- Bilal Shah, DC
- Title
- Owner/Sole Member
- Phone
- (201) 763-7521
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 | Primary |
Addresses
Primary practice location
35 Journal SQ Ste 502
Jersey City, NJ 07306-4007
Mailing address
35 Journal SQ Ste 502
Jersey City, NJ 07306-4007
Phone (201) 763-7521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
35 Journal Sq
Ste 502
Jersey City, NJ 07306
Phone (201) 763-7521
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": "1571097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571097600000",
"number": "1083256721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 JOURNAL SQ STE 502",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073064007",
"telephone_number": "201-763-7521",
"fax_number": "201-763-7393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 JOURNAL SQ STE 502",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073064007",
"telephone_number": "201-763-7521",
"fax_number": "201-763-7393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOURNAL SQ SPINE & WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-15",
"last_updated": "2019-10-15",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "BILAL",
"authorized_official_title_or_position": "OWNER/SOLE MEMBER",
"authorized_official_telephone_number": "201-763-7521",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.