Organization Active NPI

Pompton Chiropractic and Athletic Trauma Center, PA

  • Chiropractor
  • Cedar Grove, NJ
National Provider Identifier
1235319799
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
POMPTON CHIROPRACTIC AND ATHLETIC TRAUMA CENTER, PA
Practice address
6 Pompton Ave
Suite 25
Cedar Grove, NJ 07009-2042
Phone
(973) 239-1119
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. Marco Michael B Runo, D.C.
Title
President
Phone
(973) 239-1119

Specialties & licenses 1

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

Addresses

Primary practice location

6 Pompton Ave
Suite 25
Cedar Grove, NJ 07009-2042

Mailing address

6 Pompton Ave
Suite 25
Cedar Grove, NJ 07009-2042
Phone (973) 239-1119

National Provider Directory

National Provider Directory

Locations

6 Pompton Ave
Ste 25
Cedar Grove, NJ 07009
Phone (973) 239-0262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1235319799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 POMPTON AVE",
            "address_2": "SUITE 25",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070092042",
            "telephone_number": "973-239-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 POMPTON AVE",
            "address_2": "SUITE 25",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070092042",
            "telephone_number": "973-239-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMPTON CHIROPRACTIC AND ATHLETIC TRAUMA CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "B RUNO",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-239-1119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Grove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.