Organization Active NPI

Eisen Family Chiropractic Center, P.C.

  • Chiropractor
  • Paramus, NJ
National Provider Identifier
1538257100
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EISEN FAMILY CHIROPRACTIC CENTER, P.C.
Practice address
299 Forest Ave
Suite Q
Paramus, NJ 07652-5424
Phone
(201) 261-3600
Fax
(201) 261-3630
NPI assigned
Oct 10, 2006
Last updated
Apr 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Dr. Robert David Eisen, D.C.NPI 1134222789
Title
President
Phone
(201) 261-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

299 Forest Ave
Suite Q
Paramus, NJ 07652-5424

Mailing address

44 E Quackenbush Ave
Dumont, NJ 07628-3006
Phone (201) 261-3600

Other identifiers 1

IdentifierTypeStateIssuer
0093564MedicaidNJ

National Provider Directory

National Provider Directory

Locations

299 Forest Ave
Ste Q
Paramus, NJ 07652
Phone (201) 261-3600

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1538257100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 E QUACKENBUSH AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076283006",
            "telephone_number": "201-261-3600",
            "fax_number": "201-261-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 FOREST AVE",
            "address_2": "SUITE Q",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525424",
            "telephone_number": "201-261-3600",
            "fax_number": "201-261-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EISEN FAMILY CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "EISEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-261-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093564",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.