Distano Chiropractic Care LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00655500 Issued in NJ

Legal business name

DISTANO CHIROPRACTIC CARE LLC

Practice address

655 Kearny Avenue, Suite #102
Kearny, NJ 07032-2942

Phone

(201) 991-0050

Fax

(201) 991-2383

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Distano, D.C.

Title

Owner

Phone

(201) 991-0050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1417161985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 KEARNY AVENUE, SUITE #102",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 KEARNY AVENUE, SUITE #102",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322942",
            "telephone_number": "201-991-0050",
            "fax_number": "201-991-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTANO CHIROPRACTIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "DISTANO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-991-0050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00655500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Developmental Disabilities Association of NJ Inc.
• Roshni Dholakia
• Robert J Di Salvo, DMD
• Leonard Arthur Diamond I, D.D.S.
• Dorise Dipasquale, MA, CCC-SLP
• Anthony Carmen Distano, D.C.
• Nicole Distano, D.C.
• Divine Chiropractic Center, LLC
• Ameet Doshi, M.D.
• Prakash J Doshi, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.