Organization Active NPI

West Essex Spinal Care Associates

  • Chiropractor
  • West Caldwell, NJ
National Provider Identifier
1336489350
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00421700 Issued in NJ
Legal business name
WEST ESSEX SPINAL CARE ASSOCIATES
Practice address
1140 Bloomfield Ave
Suite 230
West Caldwell, NJ 07006-7130
Phone
(973) 808-6800
Fax
(973) 808-7100
NPI assigned
Feb 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Authorized official

Name
Dr. Francis R. Teresa Jr., DCNPI 1396895843
Title
President
Phone
(973) 808-6800

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 38MC00421700 NJ Primary

Addresses

Primary practice location

1140 Bloomfield Ave
Suite 230
West Caldwell, NJ 07006-7130

Mailing address

1140 Bloomfield Ave
Suite 230
West Caldwell, NJ 07006-7130
Phone (973) 808-6800

Other identifiers 1

IdentifierTypeStateIssuer
P2789325OtherOXFORD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130523000030 NJ Part B Supplier - Clinic/Group Practice 9436397965 Receives reassigned benefits from 1 practitioner
Practice locations: West Caldwell, NJ

National Provider Directory

National Provider Directory

Locations

1140 Bloomfield Ave
Ste 230
West Caldwell, NJ 07006
Phone (973) 808-6800

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": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1336489350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BLOOMFIELD AVE",
            "address_2": "SUITE 230",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067130",
            "telephone_number": "973-808-6800",
            "fax_number": "973-808-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BLOOMFIELD AVE",
            "address_2": "SUITE 230",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067130",
            "telephone_number": "973-808-6800",
            "fax_number": "973-808-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ESSEX SPINAL CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "TERESA",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-808-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00421700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2789325",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.