NPIMap

Organization Active NPI

Blairstown Chiropractic Center LLC

  • Chiropractor
  • Blairstown, NJ
National Provider Identifier
1194984898
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00455900 Issued in NJ
Legal business name
BLAIRSTOWN CHIROPRACTIC CENTER LLC
Practice address
143 State Route 94
Blairstown, NJ 07825-2214
Phone
(908) 362-8767
Fax
(908) 362-8770
NPI assigned
Jun 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Sandy A Giacobbe Jr., D.C.
Title
Owner
Phone
(908) 362-8767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00455900 NJ Primary

Addresses

Primary practice location

143 State Route 94
Blairstown, NJ 07825-2214

Mailing address

143 State Route 94
Blairstown, NJ 07825-2214
Phone (908) 362-8767

National Provider Directory

National Provider Directory

Locations

143 State Route 94
Blairstown, NJ 07825
Phone (908) 362-8767

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1194984898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 STATE ROUTE 94",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "078252214",
            "telephone_number": "908-362-8767",
            "fax_number": "908-362-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 STATE ROUTE 94",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "078252214",
            "telephone_number": "908-362-8767",
            "fax_number": "908-362-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIRSTOWN CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "GIACOBBE",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-362-8767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00455900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.