Bayside Spine & Rehab Center LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

38MC00410600 Issued in NJ

Legal business name

BAYSIDE SPINE & REHAB CENTER LLC

Doing business as

Healthy Spine & Wellness Center

Practice address

333A State St
Perth Amboy, NJ 08861-4117

Phone

(732) 376-0267

Fax

(732) 376-0141

NPI assigned

Apr 1, 2011

Last updated

Apr 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Sielski, D.C.

Title

Manager

Phone

(732) 376-0141

Specialties & licenses 1

Addresses

Other names 1

• Healthy Spine & Wellness Center Doing business as

Tax ID family

Bayside Spine and Rehab Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bayside Spine and Rehab Center LLC

  • Chiropractor
  • Perth Amboy, NJ
  • NPI 1801046164
  NPD tax ID

Locations

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1346539137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333A STATE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333A STATE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614117",
            "telephone_number": "732-376-0267",
            "fax_number": "732-376-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE SPINE & REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "SIELSKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-376-0141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NJ",
            "license": "38MC00410600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Spine & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesus Santiago Bautista Garzon, MD
• Bayada Home Health Care, Inc.
• Bayada Home Health Care, Inc.
• Karimullah Bayanzay, MD
• Baybridge Health Care Inc
• Bayside Spine and Rehab Center LLC
• Bayview Emergency Associates, P.a.
• Hilario Beltre
• Pablo Bencosme, M. D.
• Rosalie Bencosme, LPN

• Health Service Clinic/Center in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.