Organization Active NPI

The Center for Chiropractic and Rehabilitation, LLC

  • Physical Therapist
  • Clifton, NJ
National Provider Identifier
1265578017
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01130200 Issued in NJ
Legal business name
THE CENTER FOR CHIROPRACTIC AND REHABILITATION, LLC
Practice address
1199 Main Ave
Clifton, NJ 07011-2253
Phone
(973) 772-6425
NPI assigned
Jan 29, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Lenny Kruglyak, D.C.
Title
Owner
Phone
(973) 772-6425

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00465500 NJ
Physical Therapist 225100000X 40QA01130200 NJ Primary

Addresses

Primary practice location

1199 Main Ave
Clifton, NJ 07011-2253

Mailing address

1199 Main Ave
Clifton, NJ 07011-2253
Phone (973) 772-6425

National Provider Directory

National Provider Directory

Locations

1199 Main Ave
Clifton, NJ 07011
Phone (973) 772-6425

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1265578017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112253",
            "telephone_number": "973-772-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112253",
            "telephone_number": "973-772-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR CHIROPRACTIC AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KRUGLYAK",
        "authorized_official_first_name": "LENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-772-6425",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00465500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01130200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.