NPIMap

Organization Active NPI

Clifton Spine Sports & Rehabilitation

  • Chiropractor
  • Clifton, NJ
National Provider Identifier
1124237052
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CLIFTON SPINE SPORTS & REHABILITATION
Practice address
1135 Broad St
Suite#106
Clifton, NJ 07013-3346
Phone
(973) 473-4481
Fax
(973) 473-8852
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George Constantine Scordilis, D.C.NPI 1942308671
Title
Partner
Phone
(973) 473-4481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1135 Broad St
Suite#106
Clifton, NJ 07013-3346

Mailing address

1135 Broad St
Suite#106
Clifton, NJ 07013-3346
Phone (973) 473-4481

National Provider Directory

National Provider Directory

Locations

1135 Broad St
Ste 106
Clifton, NJ 07013
Phone (973) 470-0632

1135 Broad St
Ste 100
Clifton, NJ 07013
Phone (973) 256-0103

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124237052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 BROAD ST",
            "address_2": "SUITE#106",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133346",
            "telephone_number": "973-473-4481",
            "fax_number": "973-473-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 BROAD ST",
            "address_2": "SUITE#106",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133346",
            "telephone_number": "973-473-4481",
            "fax_number": "973-473-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON SPINE SPORTS & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCORDILIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "CONSTANTINE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "973-473-4481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.