NPIMap

Organization Active NPI

Advanced Rehabilitation of West Jersey, PC

  • Chiropractor
  • Phillipsburg, NJ
National Provider Identifier
1346354495
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
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
Last updated
Sep 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Dr. Scott Brian Krisanda, DCNPI 1871524124
Title
Doctor
Phone
(908) 213-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X MC3814 NJ Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA01122700 NJ

Addresses

Primary practice location

538 New Brunswick Ave
Phillipsburg, NJ 08865-3942

Mailing address

538 New Brunswick Ave
Phillipsburg, NJ 08865-3942
Phone (908) 213-9000

National Provider Directory

National Provider Directory

Locations

538 New Brunswick Ave
Phillipsburg, NJ 08865
Phone (908) 213-9000

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • 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.