Atlantic Back and Body Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00738900 Issued in NJ

Legal business name

ATLANTIC BACK AND BODY CLINIC LLC

Practice address

8 Quakerbridge PLZ Ste 1
Hamilton, NJ 08619-1255

Phone

(310) 989-8850

NPI assigned

Oct 3, 2016

Organization subpart

No

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

Authorized official

Name

Malynn T. Drake, DCNPI 1235465576

Title

Owner/Doctor

Phone

(310) 989-8850

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.

• Malynn Theresa Drake, D.C.

  • Chiropractor
  • Edison, NJ
  • NPI 1235465576
  NPD (past) Authorized official

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1336698349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 QUAKERBRIDGE PLZ STE 1",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191255",
            "telephone_number": "310-989-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 QUAKERBRIDGE PLZ STE 1",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191255",
            "telephone_number": "310-989-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC BACK AND BODY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "MALYNN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "310-989-8850",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00738900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "38MC00738900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Associated Neurologists of N.J., PA
• Associated Podiatric Physicians,PA
• Associated Retinal Consultants, LLC
• Tracy Joann Aston McCarty, D.P.T.
• Jennifer Lynn Atiles, MA, LPC, NCC
• Faith Atte
• Attune Therapeutic Services LLC
• Patrick Aufiero, M.D.
• Rumisha Augustin
• Avanthi Avadhanam

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.