North Jersey Spine and Sports, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

NORTH JERSEY SPINE AND SPORTS, PC

Practice address

480 Market St
Suite 1
Saddle Brook, NJ 07663-5932

Phone

(201) 843-8300

Fax

(201) 843-7833

NPI assigned

Dec 6, 2006

Last updated

Oct 4, 2016By 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

Dr. Jason Ernest Weber, DCNPI 1972519254

Title

President

Phone

(201) 843-8300

Specialties & licenses 3

Addresses

Other names 1

• Advanced Center for Spine Care,PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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.

• Jason Weber, DC, DACRB

  • Rehabilitation Chiropractor
  • Saddle Brook, NJ
  • NPI 1972519254
  Medicare reassignment NPD Authorized official
• Alexa Alhout Bezer, DC, LAC

  • Chiropractor
  • Saddle Brook, NJ
  • NPI 1427788983
  NPD (past)
• Danilo O Cabusas, P.T.

  • Physical Therapist
  • Cliffside Park, NJ
  • NPI 1356536106
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1457410763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 MARKET ST",
            "address_2": "SUITE 1",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635932",
            "telephone_number": "201-843-8300",
            "fax_number": "201-843-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MARKET ST",
            "address_2": "SUITE 1",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635932",
            "telephone_number": "201-843-8300",
            "fax_number": "201-843-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY SPINE AND SPORTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-843-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "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": "Advanced Center for Spine Care,PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Elizabeth Anne Newcombe, OTR/L
• Nimax Group Corp
• NJ Spine Care, Inc
• North Jersey Spine and Rehab
• North Jersey Spine and Rehab LLC
• Michelle Ann O'Keefe, PT
• Heather Leigh O'Rourke, DPT
• Kelsey A Oates, M.S.,CCC-SLP
• Sharon Consuelo Ogario Olarte, LPN
• Omnia Treatment Center LLC (Ikon Recovery Center)

• Chiropractor in Saddle Brook, NJ
• Providers in Saddle Brook, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.