Organization Active NPI

Precision Upper Cervical PA

  • Chiropractor
  • Waldwick, NJ
National Provider Identifier
1124325105
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00682300 Issued in NJ
Legal business name
PRECISION UPPER CERVICAL PA
Practice address
20 Franklin Tpke
Suite 218
Waldwick, NJ 07463-1749
Phone
(201) 857-5050
Fax
(201) 857-5051
NPI assigned
Feb 28, 2011
Last updated
May 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Authorized official

Name
Dr. Robert Bello, D.C.NPI 1619282688
Title
Owner
Phone
(201) 857-5050

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00682300 NJ Primary

Addresses

Primary practice location

20 Franklin Tpke
Suite 218
Waldwick, NJ 07463-1749

Mailing address

20 Franklin Tpke
Suite 218
Waldwick, NJ 07463-1749
Phone (201) 857-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110623000284 NJ Part B Supplier - Clinic/Group Practice 9931387800 Receives reassigned benefits from 1 practitioner
Practice locations: Clifton, NJ; Waldwick, NJ

National Provider Directory

National Provider Directory

Locations

850 Clifton Ave
Clifton, NJ 07013
Phone (973) 253-7005

20 Franklin Tpke
Ste 218
Waldwick, NJ 07463
Phone (201) 749-6610

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1124325105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FRANKLIN TPKE",
            "address_2": "SUITE 218",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631749",
            "telephone_number": "201-857-5050",
            "fax_number": "201-857-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FRANKLIN TPKE",
            "address_2": "SUITE 218",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631749",
            "telephone_number": "201-857-5050",
            "fax_number": "201-857-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION UPPER CERVICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "BELLO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-857-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00682300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldwick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.