Advanced Spine and Rehabilitation Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00611700 Issued in NJ

Legal business name

ADVANCED SPINE AND REHABILITATION CENTER LLC

Practice address

1201 E Broad St
Millville, NJ 08332-1615

Phone

(856) 327-2100

Fax

(856) 327-1113

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Martin Hahn, MD

Title

President

Phone

(856) 327-2100

Specialties & licenses 1

Addresses

Practitioners 1

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

• Paula J Wilson, DC

  • Chiropractor
  • Millville, NJ
  • NPI 1336100304
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1407929904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E BROAD ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321615",
            "telephone_number": "856-327-2100",
            "fax_number": "856-327-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E BROAD ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321615",
            "telephone_number": "856-327-2100",
            "fax_number": "856-327-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINE AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-327-2100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00611700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Millville, NJ
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.