Paul Blank,D.C.,LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1734 Issued in NJ

Legal business name

PAUL BLANK,D.C.,LLC

Practice address

500 N Wood Ave
Suite 2a
Linden, NJ 07036-4160

Phone

(908) 925-1371

Fax

(908) 925-0332

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul Blank, D.C.

Title

President

Phone

(908) 925-1371

Specialties & licenses 1

Addresses

Other names 1

• North Wood Chiropractic Ctr Doing business as

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1649325804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N WOOD AVE",
            "address_2": "SUITE 2A",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364160",
            "telephone_number": "908-925-1371",
            "fax_number": "908-925-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N WOOD AVE",
            "address_2": "SUITE 2A",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364160",
            "telephone_number": "908-925-1371",
            "fax_number": "908-925-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL BLANK,D.C.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-925-1371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "1734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Wood Chiropractic Ctr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.