Montclair Spine & Sports Rehab, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MONTCLAIR SPINE & SPORTS REHAB, LLC

Practice address

292 Bloomfield Ave FL 2
Montclair, NJ 07042-3624

Phone

(973) 942-0220

Fax

(973) 942-0222

NPI assigned

Aug 5, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jorge De la Torre Jr., DC

Title

Owner

Phone

(973) 942-0220

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1164032140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 LEWIS PL",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122648",
            "telephone_number": "973-885-8877",
            "fax_number": "973-942-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 BLOOMFIELD AVE FL 2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423624",
            "telephone_number": "973-942-0220",
            "fax_number": "973-942-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR SPINE & SPORTS REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "DE LA TORRE",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-942-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "njhealthsolution.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "292 Bloomfield Ave Fl 2",
            "city": "Montclair",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070423624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Montclair Performance Health and Chiropractic Inc
• Montclair Physical Therapy Associates PA
• Montclair Physicians Group
• Montclair Public Schools
• Montclair Rehab Services, LLC
• Montclair State University
• Montclair State University
• Montclair State University Health Center
• Montclair State University Occupational Health
• Montclair Surgical Services LLC

• All providers in Montclair, NJ
• Chiropractor in New Jersey

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