New Life Chiropractic Center, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MC004958 Issued in NJ

Legal business name

NEW LIFE CHIROPRACTIC CENTER, LLC

Practice address

470 Newark Pompton Tpke
Pompton Plains, NJ 07444-1924

Phone

(973) 714-2414

NPI assigned

Sep 27, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly D Stark, D.C.

Title

Owner/Operator

Phone

(973) 714-2414

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1629405204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 NEWARK POMPTON TPKE",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441924",
            "telephone_number": "973-714-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 NEWARK POMPTON TPKE",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441924",
            "telephone_number": "973-714-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "973-714-2414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "MC004958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Pompton Plains, NJ
• Providers in Pompton Plains, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.