Organization Active NPI

Everest Chiropractic PC

  • Chiropractor
  • Mountainside, NJ
National Provider Identifier
1104329374
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00731300 Issued in NJ
Legal business name
EVEREST CHIROPRACTIC PC
Practice address
200 Sheffield St Ste 303
Mountainside, NJ 07092-2314
Phone
(908) 505-0992
Fax
(646) 626-6370
NPI assigned
Mar 14, 2018
Last updated
Mar 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Authorized official

Name
Dr. Gabriel Nadel, DC
Title
Owner
Phone
(908) 505-0992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00731300 NJ Primary

Addresses

Primary practice location

200 Sheffield St Ste 303
Mountainside, NJ 07092-2314

Mailing address

200 Sheffield St Ste 303
Mountainside, NJ 07092-2314
Phone (908) 505-0992

National Provider Directory

National Provider Directory

Locations

200 Sheffield St
Ste 303
Mountainside, NJ 07092
Phone (908) 277-4480

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1104329374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SHEFFIELD ST STE 303",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922314",
            "telephone_number": "908-505-0992",
            "fax_number": "646-626-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SHEFFIELD ST STE 303",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922314",
            "telephone_number": "908-505-0992",
            "fax_number": "646-626-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "NADEL",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-505-0992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00731300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountainside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.