Organization Active NPI

Apollo Physical Rehabilitation LLC

  • Rehabilitation Chiropractor
  • Hackensack, NJ
National Provider Identifier
1376842666
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
38MC00615000 Issued in NJ
Legal business name
APOLLO PHYSICAL REHABILITATION LLC
Practice address
2 S Summit Ave
First Floor
Hackensack, NJ 07601-1117
Phone
(917) 837-2054
NPI assigned
Mar 25, 2011
Last updated
Mar 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Authorized official

Name
Dr. Andrew Stephen Dube, DCNPI 1891853057
Title
Owner
Phone
(917) 837-2054

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 38MC00615000 NJ Primary

Addresses

Primary practice location

2 S Summit Ave
First Floor
Hackensack, NJ 07601-1117

Mailing address

710 Northumberland Rd
Teaneck, NJ 07666-1923

National Provider Directory

National Provider Directory

Locations

2 S Summit Ave
Fl First
Hackensack, NJ 07601
Phone (917) 837-2054

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": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1376842666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 NORTHUMBERLAND RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S SUMMIT AVE",
            "address_2": "FIRST FLOOR",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011117",
            "telephone_number": "917-837-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO PHYSICAL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "DUBE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-837-2054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "38MC00615000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.