Family Neurology & Rehab Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FAMILY NEUROLOGY & REHAB CENTER LLC

Practice address

576 Valley Brook Ave Ste 2
Lyndhurst, NJ 07071-1919

Phone

(201) 933-5450

Fax

(201) 933-5452

NPI assigned

Jul 31, 2012

Organization subpart

No

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

Authorized official

Name

David Harris, DC

Title

Managing Member

Phone

(201) 933-5450

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1285980912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 VALLEY BROOK AVE STE 2",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711919",
            "telephone_number": "201-933-5450",
            "fax_number": "201-933-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 VALLEY BROOK AVE STE 2",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711919",
            "telephone_number": "201-933-5450",
            "fax_number": "201-933-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY NEUROLOGY & REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "201-933-5450",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Lyndhurst, NJ
• Providers in Lyndhurst, NJ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.