Individual provider Active NPI

Kayla Ann Aversa, D.C.

  • Chiropractor
  • Clifton, NJ
National Provider Identifier
1336506534
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00724400 Issued in NJ
Practice address
1033 Clifton Ave
Clifton, NJ 07013-3517
Phone
(973) 470-0687
NPI assigned
Jan 20, 2016
Last updated
Jan 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00724400 NJ Primary

Addresses

Primary practice location

1033 Clifton Ave
Clifton, NJ 07013-3517

Mailing address

1033 Clifton Ave
Clifton, NJ 07013-3517
Phone (973) 470-0687

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160217001580 NJ Practitioner - Chiropractic 5496058471 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bergenfield Physical Therapy and Rehab Center LLCGroup PAC ID 6709211394, 8 clinicians
Emerson Physical Therapy LLCGroup PAC ID 0941541908, 4 clinicians

Practice addresses (Care Compare)

253 S Washington Ave
Suite 1a
Bergenfield, NJ 07621-3739
Phone (201) 338-4053

45 Emerson Plaza E
Emerson, NJ 07630-1886
Phone (201) 477-8415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paramus Physical Therapy and Rehabilitation LLC Chiropractor CurrentSince Mar 1, 2024 Accepting new patients
Clifton Physical Therapy & Rehab Center LLC Chiropractor CurrentSince Mar 1, 2024 Accepting new patients
Bergenfield Physical Therapy & Rehab Center LLC Chiropractor CurrentSince Mar 1, 2024 Accepting new patients
Emerson Physical Therapy LLC CurrentSince Mar 1, 2024 Accepting new patients
Ospt of Clifton LLC Chiropractor PastSince Oct 13, 2024 Accepting new patients
Town Chiropractor Paramus LLC Chiropractor PastSince Mar 1, 2024 Accepting new patients

Locations

253 S Washington Ave
Ste 1A
Bergenfield, NJ 07621
Phone (201) 338-4053

1373 Broad St
Ste 204
Clifton, NJ 07013
Phone (862) 249-1330

45 Emerson Plz E
Ste 102
Emerson, NJ 07630
Phone (201) 477-8415

12 N State Rt 17
Ste 118
Paramus, NJ 07652
Phone (201) 535-4145

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1336506534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133517",
            "telephone_number": "973-470-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133517",
            "telephone_number": "973-470-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERSA",
        "first_name": "KAYLA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00724400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.