Park Avenue Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC3131 Issued in NJ

Legal business name

PARK AVENUE CHIROPRACTIC PC

Practice address

85 South Harrison St
Suite 202
East Orange, NJ 07018

Phone

(973) 678-6370

Fax

(973) 678-6733

NPI assigned

Aug 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert S Freda, DC

Title

Owner Chiropractor

Phone

(973) 678-6370

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1285825802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SOUTH HARRISON ST",
            "address_2": "SUITE 202",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018",
            "telephone_number": "973-678-6370",
            "fax_number": "973-678-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SOUTH HARRISON ST",
            "address_2": "SUITE 202",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018",
            "telephone_number": "973-678-6370",
            "fax_number": "973-678-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "FREDA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "973-678-6370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC3131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen C. Painter
• Suk-Woon Pang, M.D.
• Amandeep Pannu
• Maria Pilar Fatima Angat Paraiso-Darvin, P.T.
• Concepcion C Paras, R.N.
• Park Grove Healthcare & Rehabilitation Center LLC
• Esther Park
• Sangjun Park, PHARMD
• So Hyun Park, OTR/L
• Yeojin Park

• Chiropractor in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.