Organization Active NPI

Becker Spine and Sports Institute LLC

  • Chiropractor
  • Livingston, NJ
National Provider Identifier
1639420102
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00510300 Issued in NJ
Legal business name
BECKER SPINE AND SPORTS INSTITUTE LLC
Practice address
315 E Northfield Rd
Suite 1D
Livingston, NJ 07039-4896
Phone
(973) 535-2774
Fax
(973) 577-6151
NPI assigned
Sep 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Authorized official

Name
Stephen Becker, D.C.
Title
Owner
Phone
(973) 535-2774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00510300 NJ Primary

Addresses

Primary practice location

315 E Northfield Rd
Suite 1D
Livingston, NJ 07039-4896

Mailing address

315 E Northfield Rd
Suite 1D
Livingston, NJ 07039-4896
Phone (973) 535-2774

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1639420102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E NORTHFIELD RD",
            "address_2": "SUITE 1D",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394896",
            "telephone_number": "973-535-2774",
            "fax_number": "973-577-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E NORTHFIELD RD",
            "address_2": "SUITE 1D",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394896",
            "telephone_number": "973-535-2774",
            "fax_number": "973-577-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKER SPINE AND SPORTS INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-535-2774",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00510300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.