Spine Specialist

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

38MC00673900 Issued in NJ

Legal business name

SPINE SPECIALIST

Practice address

1187 Main Ave Ste 1D
Clifton, NJ 07011-2252

Phone

(973) 742-0927

Fax

(888) 373-2114

NPI assigned

Sep 29, 2010

Last updated

May 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marco Antonio Lopez, DCNPI 1073838991

Title

Doctor/Owner

Phone

(973) 742-0927

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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.

• Marco Antonio Lopez, D.C.

  • Neurology Chiropractor
  • Clifton, NJ
  • NPI 1073838991
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1407165111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7036",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070527036",
            "telephone_number": "973-742-0927",
            "fax_number": "888-373-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 MAIN AVE STE 1D",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112252",
            "telephone_number": "973-742-0927",
            "fax_number": "888-373-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "973-742-0927",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NY",
            "license": "X0116921",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NJ",
            "license": "38MC00673900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dvora Spektor, RD
• Liss Speziale, NP
• Spinal Solutions
• Spine and Joint Care of NJ LLC
• Spine Orthopedic and Sports Medicine
• Springer Orthopedic PA
• St Josephs Hospital and Medical Center
• St Josephs Medical Group PC
• St. Joseph Regional Medical Center
• St. Joseph Regional Medical Center

• Neurology Chiropractor in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Neurology Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.