NPIMap

Organization Active NPI

Ther Center for Joint & Spine Relief

  • Chiropractor
  • Jersey City, NJ
National Provider Identifier
1124424031
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00721400 Issued in NJ
Legal business name
THER CENTER FOR JOINT & SPINE RELIEF
Practice address
311 Newark Ave
Jersey City, NJ 07302-2347
Phone
(201) 533-0055
NPI assigned
Nov 5, 2014
Last updated
Nov 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Mr. Serge Menkin I, MDNPI 1881670784
Title
Owner
Phone
(201) 533-0055

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 38MC00721400 NJ Primary

Addresses

Primary practice location

311 Newark Ave
Jersey City, NJ 07302-2347

Mailing address

220 Trenton Rd
Fairless Hills, PA 19030-2714
Phone (215) 932-3283

National Provider Directory

National Provider Directory
Tax ID family
Center for Joint and Spine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

311 Newark Ave
Jersey City, NJ 07302
Phone (201) 533-0055

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1124424031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 TRENTON RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302714",
            "telephone_number": "215-932-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022347",
            "telephone_number": "201-533-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THER CENTER FOR JOINT & SPINE RELIEF",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "MENKIN",
        "authorized_official_first_name": "SERGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-533-0055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00721400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.