Active NPI
Lifeclinic Physical Therapy & Chiropractic NJ LLC
- Physical Therapist
- Montvale, NJ
National Provider Identifier
1265064513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- LIFECLINIC PHYSICAL THERAPY & CHIROPRACTIC NJ LLC
- Practice address
- 10 Van Riper Rd
Montvale, NJ 07645-1838 - Phone
- (917) 359-8901
- NPI assigned
- Feb 5, 2020
- 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
- Alan H Siegel, DC
- Title
- Member
- Phone
- (917) 359-8901
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Acupuncturist | 171100000X | |||
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
10 Van Riper Rd
Montvale, NJ 07645-1838
Mailing address
7 Watch Hill Rd
Pleasantville, NY 10570-2534
Phone (917) 359-8901
National Provider Directory
National Provider DirectoryLocations
10 Van Riper Rd
Montvale, NJ 07645
Phone (201) 746-4759
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Ojai, CA
- NPI 1295243996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581552000000",
"number": "1265064513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 WATCH HILL RD",
"city": "PLEASANTVILLE",
"state": "NY",
"postal_code": "105702534",
"telephone_number": "917-359-8901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 VAN RIPER RD",
"city": "MONTVALE",
"state": "NJ",
"postal_code": "076451838",
"telephone_number": "917-359-8901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFECLINIC PHYSICAL THERAPY & CHIROPRACTIC NJ LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-05",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A",
"authorized_official_last_name": "SIEGEL",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "917-359-8901",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montvale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.