Active NPI
Chiropractic Wellness & Rehabilitation P.C.
- Chiropractor
- Clifton, NJ
National Provider Identifier
1124315692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00404800
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryLocations
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.