Organization Active NPI

Succasunna Chiropractic and Spine Rehab

  • Chiropractor
  • Succasunna, NJ
National Provider Identifier
1326307307
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00697100 Issued in NJ
Legal business name
SUCCASUNNA CHIROPRACTIC AND SPINE REHAB
Practice address
225 Route 10 E
Suite 101
Succasunna, NJ 07876-1300
Phone
(973) 584-4420
NPI assigned
May 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Dr. Ralph Lindel, D.C.NPI 1467782755
Title
Owner
Phone
(973) 584-4420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00697100 NJ Primary

Addresses

Primary practice location

225 Route 10 E
Suite 101
Succasunna, NJ 07876-1300

Mailing address

225 Route 10 E
Suite 101
Succasunna, NJ 07876-1300
Phone (973) 584-4420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120716000085 NJ Part B Supplier - Clinic/Group Practice 4587820774 Receives reassigned benefits from 1 practitioner
Practice locations: Succasunna, NJ

National Provider Directory

National Provider Directory

Locations

223 Route 10 E
Succasunna, NJ 07876
Phone (973) 584-4420

225 Route 10 E
Ste 101
Succasunna, NJ 07876
Phone (973) 584-4420

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1326307307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ROUTE 10 E",
            "address_2": "SUITE 101",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761300",
            "telephone_number": "973-584-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ROUTE 10 E",
            "address_2": "SUITE 101",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761300",
            "telephone_number": "973-584-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCASUNNA CHIROPRACTIC AND SPINE REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "LINDEL",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-584-4420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00697100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Succasunna, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.