Newark Pain and Rehab Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC005914 Issued in NJ

Legal business name

NEWARK PAIN AND REHAB CENTER, LLC

Practice address

250 McWhorter St
Newark, NJ 07105-6023

Phone

(973) 344-0012

Fax

(973) 344-0898

NPI assigned

Feb 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Vincent Saraceno, D.C.

Title

Owner

Phone

(973) 344-0012

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• Lucas Motta Nogueira, PT, DPT

  • Physical Therapist
  • Toms River, NJ
  • NPI 1649938978
  NPD
• Rennes Toussaint, DC

  • Chiropractor
  • Newark, NJ
  • NPI 1710600853
  NPD
• Eldebrando Orcullo Estomo, PT

  • Physical Therapist
  • Milltown, NJ
  • NPI 1194777102
  NPD (past)

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1639401896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32177",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071020577",
            "telephone_number": "973-344-0012",
            "fax_number": "973-344-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MCWHORTER ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071056023",
            "telephone_number": "973-344-0012",
            "fax_number": "973-344-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK PAIN AND REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "SARACENO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-344-0012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC005914",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00613400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newark Med Imaging Corp.
• Newark Medical Associates
• Newark Mobile Blood Draw LLC
• Newark New Pharmacy LLC
• Newark Pain & Injury Center
• Newark Pediatric Dental LLC
• Newark Pharmacy LLC
• Newark Physical Therapy
• Newark Prep Charter School
• Newark Prime Care,LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.