Ultima Chiropractic & Rehabilitation Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00545400 Issued in NJ

Legal business name

ULTIMA CHIROPRACTIC & REHABILITATION CENTER, LLC

Practice address

600 Winters Ave
Paramus, NJ 07652-3904

Phone

(201) 634-8755

Fax

(201) 634-1217

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

John S Surie, D.C.NPI 1487608683

Title

Owner

Phone

(201) 634-8755

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John S Surie, DC

  • Chiropractor
  • Paramus, NJ
  • NPI 1487608683
  NPD (past) Authorized official

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1275733255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WINTERS AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523904",
            "telephone_number": "201-634-8755",
            "fax_number": "201-634-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WINTERS AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523904",
            "telephone_number": "201-634-8755",
            "fax_number": "201-634-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMA CHIROPRACTIC & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "SURIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-634-8755",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00545400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Paramus, NJ
• Providers in Paramus, 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 14, 2007; 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.