Individual provider Active NPI

Jordan E Plasker, D.C.

  • Chiropractor
  • Montvale, NJ
National Provider Identifier
1356410906
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00585600 Issued in NJ
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

Updated by the provider on Jan 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20051031000093 NJ Practitioner - Chiropractic 0547254211 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
X05667-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Plasker Chiropractic Corporation Chiropractor CurrentSince Apr 1, 2005 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.

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.

Verify at the official NPI Registry.