NPIMap

Organization Active NPI

Essex Valley Spine Care PC

  • Rehabilitation Chiropractor
  • East Orange, NJ
National Provider Identifier
1093980666
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
MC04817 Issued in NJ
Legal business name
ESSEX VALLEY SPINE CARE PC
Practice address
310 Central Ave
Suite 307
East Orange, NJ 07018-2835
Phone
(973) 266-7860
Fax
(973) 266-7861
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Victor Thomas Verlezza, D.C.NPI 1003907627
Title
President
Phone
(973) 266-7860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X MC04817 NJ Primary

Addresses

Primary practice location

310 Central Ave
Suite 307
East Orange, NJ 07018-2835

Mailing address

310 Central Ave
Suite 307
East Orange, NJ 07018-2835
Phone (973) 266-7860

Other identifiers 1

IdentifierTypeStateIssuer
0021849MedicaidNJ

National Provider Directory

National Provider Directory

Locations

310 Central Ave
Ste 307
East Orange, NJ 07018
Phone (862) 772-7822

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": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1093980666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CENTRAL AVE",
            "address_2": "SUITE 307",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182835",
            "telephone_number": "973-266-7860",
            "fax_number": "973-266-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CENTRAL AVE",
            "address_2": "SUITE 307",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182835",
            "telephone_number": "973-266-7860",
            "fax_number": "973-266-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX VALLEY SPINE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "VERLEZZA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-266-7860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "MC04817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021849",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.