Winstone Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00572100 Issued in NJ

Legal business name

WINSTONE CHIROPRACTIC PA

Practice address

500 Piermont Rd
Suite 304
Closter, NJ 07624-2845

Phone

(201) 767-6775

Fax

(201) 767-0595

NPI assigned

Mar 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jason Charles Roer, D.C.

Title

President

Phone

(201) 724-2074

Specialties & licenses 1

Addresses

Other names 1

• Northern Valley Chiropractic Center Doing business as

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1457521981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PIERMONT RD",
            "address_2": "SUITE 304",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242845",
            "telephone_number": "201-767-6775",
            "fax_number": "201-767-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PIERMONT RD",
            "address_2": "SUITE 304",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242845",
            "telephone_number": "201-767-6775",
            "fax_number": "201-767-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSTONE CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "ROER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-724-2074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00572100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Valley Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Closter, NJ
• Providers in Closter, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.