Van Buren Chiropractic and Rehabilitation Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00668600 Issued in NJ

Legal business name

VAN BUREN CHIROPRACTIC AND REHABILITATION CENTER, LLC

Practice address

266 Van Buren St
Newark, NJ 07105-2514

Phone

(862) 237-7847

Fax

(862) 237-7850

NPI assigned

Mar 27, 2009

Last updated

Aug 25, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Klein

Title

Owner

Phone

(862) 237-7847

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• David A. Depaolis, D.C.

  • Chiropractor
  • Newark, NJ
  • NPI 1962610154
  NPD (past)
• Eldebrando Orcullo Estomo, PT

  • Physical Therapist
  • Milltown, NJ
  • NPI 1194777102
  NPD (past)

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1093957615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266-268 VAN BUREN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 VAN BUREN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052514",
            "telephone_number": "862-237-7847",
            "fax_number": "862-237-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN BUREN CHIROPRACTIC AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-237-7847"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00668600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania Valle
• Jorge E Vallejo, D.M.D
• Value Pharma Inc (Value Plus Pharmacy)
• Value Plus Pharmacy
• Valueoptions of New Jersey, Inc.
• Cornelia Vandervliet, MA,CCC-A
• Empris Vandivier
• Ikea Vandross
• Eugene F Vane Jr., DMD
• Schuyler David Vantol, MD

• Chiropractor in Newark, NJ
• Providers in Newark, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.