Organization Active NPI

Princeton Spine Disc & Chiropractic LLC

  • Chiropractor
  • Princeton, NJ
National Provider Identifier
1316569882
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PRINCETON SPINE DISC & CHIROPRACTIC LLC
Practice address
815 Executive Dr
Princeton, NJ 08540-1530
Phone
(847) 422-3130
NPI assigned
May 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Dr. Manish Sojitra, D.C.
Title
Doctor of Chiropractic
Phone
(847) 422-3130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

815 Executive Dr
Princeton, NJ 08540-1530

Mailing address

24 Garfield Way
Princeton, NJ 08540-1668
Phone (847) 422-3130

Other names 1

  • Princeton Chiropractic & Disc Doing business as

National Provider Directory

National Provider Directory

Locations

815 Executive Dr
Princeton, NJ 08540
Phone (609) 252-9919

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1316569882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GARFIELD WAY",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401668",
            "telephone_number": "847-422-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 EXECUTIVE DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401530",
            "telephone_number": "847-422-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON SPINE DISC & CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "SOJITRA",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "847-422-3130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Princeton Chiropractic & Disc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.