Organization Active NPI

South Jersey Spine & Rehabilitation LLC

  • Chiropractor
  • Collingswood, NJ
National Provider Identifier
1255621041
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SOUTH JERSEY SPINE & REHABILITATION LLC
Practice address
275 Haddon Ave
Suite C
Collingswood, NJ 08108-1121
Phone
(856) 240-7361
Fax
(856) 240-7374
NPI assigned
Apr 13, 2011
Last updated
Apr 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Eunice Giang
Title
Office Manager
Phone
(856) 240-7361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

275 Haddon Ave
Suite C
Collingswood, NJ 08108-1121

Mailing address

275 Haddon Ave
Suite C
Collingswood, NJ 08108-1121
Phone (856) 240-7361

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1255621041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 HADDON AVE",
            "address_2": "SUITE C",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081121",
            "telephone_number": "856-240-7361",
            "fax_number": "856-240-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HADDON AVE",
            "address_2": "SUITE C",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081121",
            "telephone_number": "856-240-7361",
            "fax_number": "856-240-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY SPINE & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "GIANG",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-240-7361"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collingswood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.