Organization Active NPI

Spadafino Chiropractic and Wellness Center, LLC

  • Sports Physician Chiropractor
  • East Brunswick, NJ
National Provider Identifier
1306120241
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
MC03472 Issued in NJ
Legal business name
SPADAFINO CHIROPRACTIC AND WELLNESS CENTER, LLC
Practice address
281 Summerhill Rd
Suite102
East Brunswick, NJ 08816-4279
Phone
(732) 254-0800
Fax
(732) 390-5420
NPI assigned
Oct 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Dr. Michael Spadafino, D.C.
Title
Chiropractor/Owner
Phone
(732) 254-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X MC03472 NJ Primary

Addresses

Primary practice location

281 Summerhill Rd
Suite102
East Brunswick, NJ 08816-4279

Mailing address

281 Summerhill Rd
Suite102
East Brunswick, NJ 08816-4279
Phone (732) 254-0800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1306120241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 SUMMERHILL RD",
            "address_2": "SUITE102",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164279",
            "telephone_number": "732-254-0800",
            "fax_number": "732-390-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 SUMMERHILL RD",
            "address_2": "SUITE102",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164279",
            "telephone_number": "732-254-0800",
            "fax_number": "732-390-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPADAFINO CHIROPRACTIC AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "SPADAFINO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "732-254-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "MC03472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.