Luis Mizraji, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00367800 Issued in NJ

Practice address

39 Watchung PLZ
Montclair, NJ 07042-4117

Phone

(973) 783-5666

Fax

(973) 783-7209

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Chiropractors of Montclair LLCGroup PAC ID 9537332911, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Chiropractors of Montclair LLC

  • Chiropractor
  • Montclair, NJ
  • NPI 1861615916
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467521252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WATCHUNG PLZ",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424117",
            "telephone_number": "973-783-5666",
            "fax_number": "973-783-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 WATCHUNG PLZ",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424117",
            "telephone_number": "973-783-5666",
            "fax_number": "973-783-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZRAJI",
        "first_name": "LUIS",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00367800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard Matthew Mirkov, DMD
• Padama Misra, AGNP-C
• Angela Mitchell
• Laura Thompson Mitchell, LSW
• Yasmeen Mitchell
• Janel Modoski
• Frank Molignano, CCH, RSHOM(NA)
• Anne Mathias Monsees
• Montclair Adult Care
• Montclair Ambulance Unit

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.