Organization Active NPI

Chiropractic Wellness & Rehabilitation P.C.

  • Chiropractor
  • Clifton, NJ
National Provider Identifier
1124315692
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00404800 Issued in NJ
Legal business name
CHIROPRACTIC WELLNESS & REHABILITATION P.C.
Practice address
1300 Main Avenue
Suite 2B
Clifton, NJ 07011-2266
Phone
(973) 815-1159
Fax
(973) 815-1559
NPI assigned
Jul 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Dr. David I. Soltanoff, D.C.
Title
Chiropractor - President
Phone
(973) 815-1159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00404800 NJ Primary

Addresses

Primary practice location

1300 Main Avenue
Suite 2B
Clifton, NJ 07011-2266

Mailing address

1300 Main Ave. Suite 2B.
Clifton, NJ 07011
Phone (973) 928-6180

Other names 1

  • Quality Advanced Care Former legal business name

National Provider Directory

National Provider Directory

Locations

1300 Main Ave
Ste 2B
Clifton, NJ 07011
Phone (973) 446-0021

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1124315692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MAIN AVE. SUITE 2B.",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07011",
            "telephone_number": "973-928-6180",
            "fax_number": "973-928-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MAIN AVENUE",
            "address_2": "SUITE 2B",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112266",
            "telephone_number": "973-815-1159",
            "fax_number": "973-815-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WELLNESS & REHABILITATION P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "SOLTANOFF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "CHIROPRACTOR - PRESIDENT",
        "authorized_official_telephone_number": "973-815-1159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00404800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Advanced Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 11, 2014; 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.