Active NPI
Rebisz Chiropractic LLC
- Rehabilitation Chiropractor
- Garfield, NJ
National Provider Identifier
1437422607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 38MC00357600
- Legal business name
- REBISZ CHIROPRACTIC LLC
- Practice address
- 430 Midland Ave.
Garfield, NJ 07026 - Phone
- (973) 772-0411
- Fax
- (973) 772-4934
- NPI assigned
- Feb 17, 2012
- Organization subpart
- Yes
- Parent organization
- REBISZ CHIROPRACTIC LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kathleen S. Rebisz, DC, PACRB
- Title
- Owner
- Phone
- (973) 772-0411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 38MC00357600 | NJ | Primary |
Addresses
Primary practice location
430 Midland Ave.
Garfield, NJ 07026
Mailing address
430 Midland Ave.
Garfield, NJ 07026
Phone (973) 772-0411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8480508 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Rebisz Chiropractic LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rehabilitation Chiropractor
- Garfield, NJ
- NPI 1063586881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329436800000",
"number": "1437422607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 MIDLAND AVE.",
"city": "GARFIELD",
"state": "NJ",
"postal_code": "07026",
"telephone_number": "973-772-0411",
"fax_number": "973-772-4934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 MIDLAND AVE.",
"city": "GARFIELD",
"state": "NJ",
"postal_code": "07026",
"telephone_number": "973-772-0411",
"fax_number": "973-772-4934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBISZ CHIROPRACTIC LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REBISZ CHIROPRACTIC LLC",
"enumeration_date": "2012-02-17",
"last_updated": "2012-02-17",
"status": "A",
"authorized_official_last_name": "REBISZ",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-772-0411",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC, PACRB"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "NJ",
"license": "38MC00357600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8480508",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.