Nutley Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

NUTLEY CHIROPRACTIC, LLC

Practice address

25 High St
Nutley, NJ 07110-1131

Phone

(973) 235-1515

Fax

(973) 235-0452

NPI assigned

Nov 20, 2017

Last updated

Nov 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Clarke, DCNPI 1477674836

Title

Owner

Phone

(973) 235-1515

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven G Clarke, DC

  • Chiropractor
  • Nutley, NJ
  • NPI 1477674836
  Authorized official Same address or phone

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1326552845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HIGH ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101131",
            "telephone_number": "973-235-1515",
            "fax_number": "973-235-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIGH ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101131",
            "telephone_number": "973-235-1515",
            "fax_number": "973-235-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTLEY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-235-1515",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1477674836",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• North Jersey Medical Imaging
• Ashley Michelle Nunez
• Nutley Adult Day Care Inc
• Nutley Emergency Rescue
• Nutley Eye Care, LLC
• Nutley Family Dentists, LLC
• Nutley Family Service Bureau, Inc.
• Nutley Foot and Ankle PA

• Chiropractor in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.