Advanced Rehabilitation of Harrison, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ADVANCED REHABILITATION OF HARRISON, LLC

Doing business as

Advanced Rehabilitation of Harrison

Practice address

107 Harrison Ave
Harrison, NJ 07029-1332

Phone

(862) 505-1713

NPI assigned

Oct 8, 2019

Last updated

Oct 8, 2019By 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

Dr. Emmanuel M. Renaudo, DC

Title

Chiropractor

Phone

(203) 260-3476

Specialties & licenses 1

Addresses

Other names 1

• Advanced Rehabilitation of Harrison Doing business as

Locations

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1619519980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HARRISON AVE",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070291332",
            "telephone_number": "862-505-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HARRISON AVE",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070291332",
            "telephone_number": "862-505-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED REHABILITATION OF HARRISON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "RENAUDO",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "203-260-3476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Rehabilitation of Harrison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.