Organization Active NPI

Irby Spine Care PC

  • Medical Specialty Clinic/Center
  • Englewood, NJ
National Provider Identifier
1245443779
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
IRBY SPINE CARE PC
Practice address
115 Grand Ave
Englewood, NJ 07631-3654
Phone
(201) 567-4729
Fax
(201) 567-4740
NPI assigned
May 8, 2007
Last updated
Mar 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Dr. Archer Lewis Irby, D.C.NPI 1801927520
Title
President
Phone
(347) 766-0598

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

115 Grand Ave
Englewood, NJ 07631-3654

Mailing address

59 Presidential Dr
Englewood, NJ 07631-3960
Phone (201) 759-3088

Other practice location 1

1336 Utica Ave Fl 2
Brooklyn, NY 11203-5912
Phone (347) 766-0598

Other identifiers 1

IdentifierTypeStateIssuer
X62A61OtherNYEMPIRE BCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL irbyspinecare@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

115 Grand Ave
Englewood, NJ 07631
Phone (201) 567-4729

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1245443779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 PRESIDENTIAL DR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313960",
            "telephone_number": "201-759-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313654",
            "telephone_number": "201-567-4729",
            "fax_number": "201-567-4740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1336 Utica Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112035912",
            "country_code": "US",
            "telephone_number": "347-766-0598",
            "fax_number": "212-202-4878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IRBY SPINE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "IRBY",
        "authorized_official_first_name": "ARCHER",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-766-0598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "X62A61",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "irbyspinecare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "115 Grand Ave",
            "city": "Englewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076313654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.