Organization Active NPI

William Nadelberg Etal PTR William Nadelberg

  • Chiropractor
  • West Orange, NJ
National Provider Identifier
1386817617
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00201200 Issued in NJ
Legal business name
WILLIAM NADELBERG ETAL PTR WILLIAM NADELBERG
Practice address
494 Prospect Ave
West Orange, NJ 07052-4112
Phone
(973) 736-9797
Fax
(973) 736-4539
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Dr. William Benjamin Nadelberg, D.C.NPI 1669419982
Title
Partner
Phone
(973) 736-9797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00201200 NJ Primary

Addresses

Primary practice location

494 Prospect Ave
West Orange, NJ 07052-4112

Mailing address

494 Prospect Ave
West Orange, NJ 07052-4112
Phone (973) 736-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090615000558 NJ Part B Supplier - Clinic/Group Practice 5294885158 Receives reassigned benefits from 2 practitioners
Practice locations: West Orange, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1386817617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 PROSPECT AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524112",
            "telephone_number": "973-736-9797",
            "fax_number": "973-736-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 PROSPECT AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524112",
            "telephone_number": "973-736-9797",
            "fax_number": "973-736-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM NADELBERG ETAL PTR WILLIAM NADELBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "NADELBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "973-736-9797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00201200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.