NPIMap

Organization Active NPI

Core Spine & Wellness LLC

  • Chiropractor
  • East Brunswick, NJ
National Provider Identifier
1194148981
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
124640980 Issued in NJ
Legal business name
CORE SPINE & WELLNESS LLC
Practice address
180 Tices LN
BLDG a Suite 105
East Brunswick, NJ 08816-1337
Phone
(732) 253-5450
Fax
(732) 253-5451
NPI assigned
Jan 29, 2014
Last updated
Jul 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

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

Authorized official

Name
Dr. Frank J Spano Jr., DCNPI 1528219524
Title
Owner/ Chiropractor
Phone
(732) 253-5450

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
Chiropractor 111N00000X 124640980 NJ Primary

Addresses

Primary practice location

180 Tices LN
BLDG a Suite 105
East Brunswick, NJ 08816-1337

Mailing address

180 Tices LN
BLDG a Suite 105
East Brunswick, NJ 08816-1337
Phone (732) 253-5450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140708000161 NJ Part B Supplier - Clinic/Group Practice 4486879475 Receives reassigned benefits from 8 practitioners
Practice locations: Milltown, NJ

National Provider Directory

National Provider Directory

Locations

180 Tices Ln
#105
East Brunswick, NJ 08816
Phone (609) 371-9100

180 Tices Ln
#A105
East Brunswick, NJ 08816
Phone (732) 253-5450

180 Tices Ln
Ste 105
East Brunswick, NJ 08816
Phone (732) 253-5450

15 N Main St
Milltown, NJ 08850
Phone (732) 253-5450

Practitioners & affiliated clinicians

Practitioners 10

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": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1194148981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 TICES LN",
            "address_2": "BLDG A SUITE 105",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161337",
            "telephone_number": "732-253-5450",
            "fax_number": "732-253-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 TICES LN",
            "address_2": "BLDG A SUITE 105",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161337",
            "telephone_number": "732-253-5450",
            "fax_number": "732-253-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE SPINE & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "SPANO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "732-253-5450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "124640980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; 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.