Spinal Care of Elizabeth

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00553500 Issued in NJ

Legal business name

SPINAL CARE OF ELIZABETH

Practice address

230 W Jersey St
Suite 306
Elizabeth, NJ 07202-1364

Phone

(908) 558-9500

Fax

(908) 558-9505

NPI assigned

Dec 8, 2008

Last updated

Dec 8, 2008By 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

Dominic Mazza, D.C

Title

Director

Phone

(908) 558-9500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1538304340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W JERSEY ST",
            "address_2": "SUITE 306",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021364",
            "telephone_number": "908-558-9500",
            "fax_number": "908-558-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W JERSEY ST",
            "address_2": "SUITE 306",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021364",
            "telephone_number": "908-558-9500",
            "fax_number": "908-558-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL CARE OF ELIZABETH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "MAZZA",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-558-9500",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00553500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Spinal Diagnostics LLC
• Spine & Rehabilitation Center of Elizabeth
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• Spine and Pain Specialty Care LLC
• Spine and Rehabilitation Center of Jersey City LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.