NPIMap

Organization Active NPI

Lusky Corp

Doing business as Ishitani Health Center

  • Chiropractor
  • Fort Lee, NJ
National Provider Identifier
1407441892
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LUSKY CORP
Doing business as
Ishitani Health Center
Practice address
1600 Parker Ave Ste 1
Fort Lee, NJ 07024-7050
Phone
(201) 302-9993
Fax
(201) 302-9994
NPI assigned
Mar 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Authorized official

Name
Mr. Mauro Matteo Spini, PC
Title
Cfo
Phone
(201) 302-9993

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

1600 Parker Ave Ste 1
Fort Lee, NJ 07024-7050

Mailing address

1600 Parker Ave Ste 1
Fort Lee, NJ 07024-7050
Phone (201) 302-9993

Other names 1

  • Ishitani Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

1600 Parker Ave
Ste 1
Fort Lee, NJ 07024
Phone (201) 302-9993

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1407441892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PARKER AVE STE 1",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247050",
            "telephone_number": "201-302-9993",
            "fax_number": "201-302-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PARKER AVE STE 1",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247050",
            "telephone_number": "201-302-9993",
            "fax_number": "201-302-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUSKY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "SPINI",
        "authorized_official_first_name": "MAURO",
        "authorized_official_middle_name": "MATTEO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "201-302-9993",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ishitani Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.