Organization Active NPI

Clifton Spine & Injury Center, LLC

  • Chiropractor
  • Clifton, NJ
National Provider Identifier
1649594144
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CLIFTON SPINE & INJURY CENTER, LLC
Practice address
1117 Main Ave
Suite 101
Clifton, NJ 07011-2379
Phone
(973) 470-0100
Fax
(973) 405-6088
NPI assigned
Mar 26, 2010
Last updated
Mar 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Robert C. Reiss, DC
Title
Authorized Representative
Phone
(914) 261-7534

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

1117 Main Ave
Suite 101
Clifton, NJ 07011-2379

Mailing address

1117 Main Ave
Suite 101
Clifton, NJ 07011-2379
Phone (973) 470-0100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1649594144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 MAIN AVE",
            "address_2": "SUITE 101",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112379",
            "telephone_number": "973-470-0100",
            "fax_number": "973-405-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 MAIN AVE",
            "address_2": "SUITE 101",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112379",
            "telephone_number": "973-470-0100",
            "fax_number": "973-405-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON SPINE & INJURY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "REISS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "914-261-7534",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.