Organization Active NPI

Brunswick Spine & Rehabilitation PC

  • Chiropractor
  • North Brunswick, NJ
National Provider Identifier
1275792277
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00617600 Issued in NJ
Legal business name
BRUNSWICK SPINE & REHABILITATION PC
Practice address
2300 State Route 27
North Brunswick, NJ 08902-1138
Phone
(732) 821-9979
NPI assigned
Jun 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Dr. Stanley J Nosal III, D.C.
Title
Co-Owner
Phone
(732) 821-9979

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00617600 NJ Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA01136900 NJ

Addresses

Primary practice location

2300 State Route 27
North Brunswick, NJ 08902-1138

Mailing address

2300 State Route 27
North Brunswick, NJ 08902-1138
Phone (732) 821-9979

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1275792277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 STATE ROUTE 27",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021138",
            "telephone_number": "732-821-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 STATE ROUTE 27",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021138",
            "telephone_number": "732-821-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK SPINE & REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "NOSAL",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "732-821-9979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00617600",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01136900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.