Active NPI
Essex Valley Spine and Healthcare Center
- Internal Medicine Physician
- East Orange, NJ
National Provider Identifier
1104191873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ESSEX VALLEY SPINE AND HEALTHCARE CENTER
- Practice address
- 576 Central Ave
Ste 302
East Orange, NJ 07018-1951 - Phone
- (973) 266-7860
- Fax
- (973) 266-7861
- NPI assigned
- Mar 14, 2012
- 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. Victor Thomas Verlezza, DC
- Title
- President
- Phone
- (973) 266-7860
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Chiropractor | 111NI0013X | |||
| Neurology Chiropractor | 111NN0400X | |||
| Nutrition Chiropractor | 111NN1001X | |||
| Radiology Chiropractor | 111NR0200X | |||
| Sports Physician Chiropractor | 111NS0005X | |||
| Electrodiagnostic Medicine Physician | 204R00000X | |||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
576 Central Ave
Ste 302
East Orange, NJ 07018-1951
Mailing address
576 Central Ave
Ste 302
East Orange, NJ 07018-1951
Phone (973) 266-7860
National Provider Directory
National Provider DirectoryLocations
576 Central Ave
Ste 302
East Orange, NJ 07018
Phone (973) 266-7860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331683200000",
"number": "1104191873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 CENTRAL AVE",
"address_2": "STE 302",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070181951",
"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": "576 CENTRAL AVE",
"address_2": "STE 302",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070181951",
"telephone_number": "973-266-7860",
"fax_number": "973-266-7861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSEX VALLEY SPINE AND HEALTHCARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-14",
"last_updated": "2012-03-14",
"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": "DC"
},
"taxonomies": [
{
"code": "111NI0013X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Independent Medical Examiner",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NN0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NR0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": null,
"license": null,
"primary": false
},
{
"code": "204R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Electrodiagnostic Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.