NPIMap

Organization Active NPI

Capitol Chiropractic and Rehab LLC

  • Clinic/Center
  • Passaic, NJ
National Provider Identifier
1093206880
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
38MC00521900
Legal business name
CAPITOL CHIROPRACTIC AND REHAB LLC
Practice address
157 Prospect St
Passaic, NJ 07055-5128
Phone
(973) 614-0048
Fax
(973) 767-1330
NPI assigned
May 29, 2018
Last updated
Aug 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Michael Manno, DC
Title
Owner
Phone
(973) 614-0048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 38MC00521900 Primary

Addresses

Primary practice location

157 Prospect St
Passaic, NJ 07055-5128

Mailing address

PO Box 508
Saddle Brook, NJ 07663-0508
Phone (973) 614-0048

National Provider Directory

National Provider Directory

Locations

15 Howe Ave
Fl 2
Passaic, NJ 07055
Phone (973) 614-0048

Practitioners & affiliated clinicians

Practitioners 3

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": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1093206880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 508",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076630508",
            "telephone_number": "973-614-0048",
            "fax_number": "973-767-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 PROSPECT ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555128",
            "telephone_number": "973-614-0048",
            "fax_number": "973-767-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL CHIROPRACTIC AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "MANNO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-614-0048",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": "38MC00521900",
            "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 Aug 28, 2024; 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.