Advanced Rehabilitation of West Jersey, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC3814 Issued in NJ

Legal business name

ADVANCED REHABILITATION OF WEST JERSEY, PC

Practice address

538 New Brunswick Ave
Phillipsburg, NJ 08865-3942

Phone

(908) 213-9000

Fax

(908) 213-9002

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Scott Brian Krisanda, DC

Title

Doctor

Phone

(908) 213-9000

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1346354495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 NEW BRUNSWICK AVE",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088653942",
            "telephone_number": "908-213-9000",
            "fax_number": "908-213-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 NEW BRUNSWICK AVE",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088653942",
            "telephone_number": "908-213-9000",
            "fax_number": "908-213-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED REHABILITATION OF WEST JERSEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "KRISANDA",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "908-213-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC3814",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01122700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.