NPIMap

Organization Active NPI

Sportsmed Chiropractic LLC

  • Chiropractor
  • Franklin Lakes, NJ
National Provider Identifier
1659658987
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00313700 Issued in NJ
Legal business name
SPORTSMED CHIROPRACTIC LLC
Practice address
784 Franklin Ave
Suite 230
Franklin Lakes, NJ 07417-1306
Phone
(201) 819-0090
Fax
(201) 797-1055
NPI assigned
Nov 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Albert Khalaf
Title
Manager
Phone
(201) 803-7695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00313700 NJ Primary

Addresses

Primary practice location

784 Franklin Ave
Suite 230
Franklin Lakes, NJ 07417-1306

Mailing address

784 Franklin Ave
Suite 230
Franklin Lakes, NJ 07417-1306
Phone (201) 819-0090

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1659658987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 FRANKLIN AVE",
            "address_2": "SUITE 230",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171306",
            "telephone_number": "201-819-0090",
            "fax_number": "201-797-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 FRANKLIN AVE",
            "address_2": "SUITE 230",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171306",
            "telephone_number": "201-819-0090",
            "fax_number": "201-797-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTSMED CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "KHALAF",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-803-7695"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00313700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.