Organization Active NPI

Chiromed Group Bayonne LLC

  • Internal Medicine Physician
  • Bayonne, NJ
National Provider Identifier
1366715963
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08272600 Issued in NJ
Legal business name
CHIROMED GROUP BAYONNE LLC
Practice address
10 E. 22ND Street
Bayonne, NJ 07002-3708
Phone
(201) 339-8889
Fax
(201) 339-2822
NPI assigned
Feb 14, 2012
Last updated
Oct 26, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
CHIROMED GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Mr. Tabish Rizvi
Title
Ceo
Phone
(917) 216-3329

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU
Pain Clinic/Center 261QP3300X NU
Chiropractor 111N00000X 38MC00180500 NJ
Internal Medicine Physician 207R00000X 25MA08272600 NJ Primary

Addresses

Primary practice location

10 E. 22ND Street
Bayonne, NJ 07002-3708

Mailing address

101 W 24TH St
Apt 12a
New York, NY 10011-1909
Phone (917) 216-3329

National Provider Directory

National Provider Directory

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": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1366715963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 24TH ST",
            "address_2": "APT 12A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111909",
            "telephone_number": "917-216-3329",
            "fax_number": "212-867-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E. 22ND STREET",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023708",
            "telephone_number": "201-339-8889",
            "fax_number": "201-339-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROMED GROUP BAYONNE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHIROMED GROUP LLC",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "RIZVI",
        "authorized_official_first_name": "TABISH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-216-3329",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00180500",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08272600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

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