NPIMap

Organization Active NPI

Little Ferry Sports, Spine & Rehabilitation Center

  • Chiropractor
  • Little Ferry, NJ
National Provider Identifier
1568623536
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00665500 Issued in NJ
Legal business name
LITTLE FERRY SPORTS, SPINE & REHABILITATION CENTER
Practice address
167 Washington Ave
Little Ferry, NJ 07643-2009
Phone
(201) 641-1600
Fax
(201) 807-0231
NPI assigned
Jun 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Dr. Charles Terranova, D.C.NPI 1982828117
Title
Owner
Phone
(201) 641-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00665500 NJ Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA01102800 NJ
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA01032900 NJ

Addresses

Primary practice location

167 Washington Ave
Little Ferry, NJ 07643-2009

Mailing address

167 Washington Ave
Little Ferry, NJ 07643-2009
Phone (201) 641-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080731000070 NJ Part B Supplier - Clinic/Group Practice 0446324073 Receives reassigned benefits from 3 practitioners
Practice locations: Little Ferry, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1568623536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 WASHINGTON AVE",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076432009",
            "telephone_number": "201-641-1600",
            "fax_number": "201-807-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 WASHINGTON AVE",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076432009",
            "telephone_number": "201-641-1600",
            "fax_number": "201-807-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE FERRY SPORTS, SPINE & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-22",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "TERRANOVA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-641-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00665500",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01102800",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01032900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Ferry, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.