Organization Active NPI

The Chiropractic & Physical Therapy Center of NJ PC

  • Chiropractor
  • Belleville, NJ
National Provider Identifier
1235185703
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00532100 Issued in NJ
Legal business name
THE CHIROPRACTIC & PHYSICAL THERAPY CENTER OF NJ PC
Practice address
544 Washington Ave
Belleville, NJ 07109-3334
Phone
(973) 759-3020
Fax
(973) 759-2046
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Chillemi, DC
Title
Ceo
Phone
(973) 759-3020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00532100 NJ Primary

Addresses

Primary practice location

544 Washington Ave
Belleville, NJ 07109-3334

Mailing address

544 Washington Ave
Belleville, NJ 07109-3334
Phone (973) 759-3020

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherNJCHIRO PT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235185703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 WASHINGTON AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093334",
            "telephone_number": "973-759-3020",
            "fax_number": "973-759-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 WASHINGTON AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093334",
            "telephone_number": "973-759-3020",
            "fax_number": "973-759-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHIROPRACTIC & PHYSICAL THERAPY CENTER OF NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHILLEMI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-759-3020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00532100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIRO PT",
            "identifier": "PENDING",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.