Northeastern Spinal Health and Rehabilitation LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00628700 Issued in NJ

Legal business name

NORTHEASTERN SPINAL HEALTH AND REHABILITATION LLC

Practice address

1037 Route 46 Ste 203
Clifton, NJ 07013-2459

Phone

(973) 812-0202

Fax

(973) 812-0505

NPI assigned

Jul 5, 2006

Last updated

Sep 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Roman Czupak, D.C.NPI 1205883600

Title

Owner

Phone

(973) 812-0202

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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.

• Michael Roman Czupak, D.C.

  • Chiropractor
  • Clifton, NJ
  • NPI 1205883600
  Medicare reassignment NPD Authorized official
• Emily Anna Stoppiello-Czupak, D.C.

  • Chiropractor
  • Clifton, NJ
  • NPI 1497701981
  NPD

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1265463830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 ROUTE 46 STE 203",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132459",
            "telephone_number": "973-812-0202",
            "fax_number": "973-812-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 ROUTE 46 STE 203",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132459",
            "telephone_number": "973-812-0202",
            "fax_number": "973-812-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN SPINAL HEALTH AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "CZUPAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-812-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00628700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ HEALTH PROVIDER",
            "identifier": "60192385",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Northeastern Anesthesia Institute LLC
• Notchview Chiropractic LLC
• Notchview Dental Group LLP
• Notchview Pediatrics, LLC
• Bassel Noumi, M.D.
• Nova Medical

• Chiropractor in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.