NPIMap

Organization Active NPI

Advance Chiropractic Clinics P C

  • Health Service Clinic/Center
  • Clark, NJ
National Provider Identifier
1194118752
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
38 MC00568300 Issued in NJ
Legal business name
ADVANCE CHIROPRACTIC CLINICS P C
Practice address
57 Brant Ave
Suite 102
Clark, NJ 07066-1568
Phone
(732) 340-1006
Fax
(732) 340-1433
NPI assigned
Mar 6, 2015
Last updated
Mar 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Authorized official

Name
Michael Baremboym, D.C.NPI 1386685428
Title
President
Phone
(732) 340-1006

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
Health Service Clinic/Center 261QH0100X 38 MC00568300 NJ Primary

Addresses

Primary practice location

57 Brant Ave
Suite 102
Clark, NJ 07066-1568

Mailing address

57 Brant Ave
Suite 102
Clark, NJ 07066-1568
Phone (732) 340-1006

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1194118752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 BRANT AVE",
            "address_2": "SUITE 102",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661568",
            "telephone_number": "732-340-1006",
            "fax_number": "732-340-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 BRANT AVE",
            "address_2": "SUITE 102",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661568",
            "telephone_number": "732-340-1006",
            "fax_number": "732-340-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CHIROPRACTIC CLINICS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "BAREMBOYM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-340-1006",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NJ",
            "license": "38 MC00568300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.