Active NPI
Concord Health & Rehabilitation, Inc.
- Chiropractor
- Merchantville, NJ
National Provider Identifier
1255472551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4699
- Legal business name
- CONCORD HEALTH & REHABILITATION, INC.
- Practice address
- 107 W Maple Ave
Merchantville, NJ 08109 - Phone
- (856) 910-0495
- Fax
- (856) 665-5731
- NPI assigned
- Feb 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gary Desmond Knight, DC PT
- Title
- President
- Phone
- (856) 910-0495
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4699 | NJ | Primary |
| Physical Therapist | 225100000X | 01496 | NJ |
Addresses
Primary practice location
107 W Maple Ave
Merchantville, NJ 08109
Mailing address
107 W Maple Ave
Merchantville, NJ 08109-2038
Phone (856) 910-0495
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Rehabilitation Chiropractor
- Merchantville, NJ
- NPI 1093907420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325635200000",
"number": "1255472551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 W MAPLE AVE",
"city": "MERCHANTVILLE",
"state": "NJ",
"postal_code": "081092038",
"telephone_number": "856-910-0495",
"fax_number": "856-665-5731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 W MAPLE AVE",
"city": "MERCHANTVILLE",
"state": "NJ",
"postal_code": "08109",
"telephone_number": "856-910-0495",
"fax_number": "856-665-5731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCORD HEALTH & REHABILITATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2012-01-04",
"status": "A",
"authorized_official_last_name": "KNIGHT",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "DESMOND",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "856-910-0495",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DC PT"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NJ",
"license": "4699",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NJ",
"license": "01496",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merchantville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.