NPIMap

Organization Active NPI

Burlington County Spine & Rehabilitation LLC

  • Chiropractor
  • Mount Laurel, NJ
National Provider Identifier
1114151602
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BURLINGTON COUNTY SPINE & REHABILITATION LLC
Practice address
103 Masonville Rd
Mount Laurel, NJ 08054-1612
Phone
(856) 235-0202
Fax
(856) 235-3377
NPI assigned
May 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Ms. Eunice Wong
Title
Practice Administrator
Phone
(856) 235-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

103 Masonville Rd
Mount Laurel, NJ 08054-1612

Mailing address

103 Masonville Rd
Mount Laurel, NJ 08054-1612
Phone (856) 235-0202

National Provider Directory

National Provider Directory
Tax ID family
Burlington County Spine Rehabilitation LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1114151602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MASONVILLE RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541612",
            "telephone_number": "856-235-0202",
            "fax_number": "856-235-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MASONVILLE RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541612",
            "telephone_number": "856-235-0202",
            "fax_number": "856-235-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON COUNTY SPINE & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "856-235-0202",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.