Active NPI
Jordan E Plasker, D.C.
- Chiropractor
- Montvale, NJ
National Provider Identifier
1356410906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00585600
- Practice address
- 25 Philips Pkwy
Suite 102
Montvale, NJ 07645-1810 - Phone
- (201) 505-9355
- Fax
- (201) 505-1711
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00585600 | NJ | Primary |
| Chiropractor | 111N00000X | X05667-1 | NY |
Addresses
Primary practice location
25 Philips Pkwy
Suite 102
Montvale, NJ 07645-1810
Mailing address
399 Darlington Ave
Ramsey, NJ 07446-1306
Phone (201) 505-9355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
25 Philips Pkwy
Montvale, NJ 07645-1810
Phone (201) 505-9355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X05667-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plasker Chiropractic Corporation | Chiropractor | Current | Accepting new patients |
Locations
25 Philips Pkwy
Montvale, NJ 07645
Phone (201) 505-9355
25 Philips Pkwy
Ste 102
Montvale, NJ 07645
Phone (201) 505-9355
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Montvale, NJ
- NPI 1689862237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516060800000",
"number": "1356410906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "399 DARLINGTON AVE",
"city": "RAMSEY",
"state": "NJ",
"postal_code": "074461306",
"telephone_number": "201-505-9355",
"fax_number": "201-505-1711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 PHILIPS PKWY",
"address_2": "SUITE 102",
"city": "MONTVALE",
"state": "NJ",
"postal_code": "076451810",
"telephone_number": "201-505-9355",
"fax_number": "201-505-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLASKER",
"first_name": "JORDAN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2018-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00585600",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X05667-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montvale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.