Pavonia Spine & Rehabilitation,PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC04987 Issued in NJ

Legal business name

PAVONIA SPINE & REHABILITATION,PC

Practice address

36-42 Newark St
Suite 301
Hoboken, NJ 07030-5654

Phone

(201) 710-5420

Fax

(201) 710-5419

NPI assigned

Jul 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dennis J Barteck, DCNPI 1396785499

Title

President

Phone

(201) 710-5420

Specialties & licenses 1

Addresses

Other names 1

• Barteck Wellness Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis J Barteck, D.C.

  • Chiropractor
  • Rutherford, NJ
  • NPI 1396785499
  NPD (past) Authorized official
• Joseph Charles De Fazio, D.C.

  • Chiropractor
  • Jersey City, NJ
  • NPI 1144277336
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1124033212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36-42 NEWARK ST",
            "address_2": "SUIRE 301",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305654",
            "telephone_number": "201-710-5420",
            "fax_number": "201-710-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36-42 NEWARK ST",
            "address_2": "SUITE 301",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305654",
            "telephone_number": "201-710-5420",
            "fax_number": "201-710-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVONIA SPINE & REHABILITATION,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "BARTECK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-710-5420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barteck Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniela Damiani Paternostro, LPC
• Riley A Patton
• Paul C Teodoro MD Inc
• Fabien Paul, PA-C
• Paula Diaz Counseling Services, LLC
• Pdi Health LLC
• Pdi Health LLC
• Brianna Elizabeth Pecora
• Alexa Rose Pedulla, LAC
• Carlene Peguero, MSW, LSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.