Active NPI
Spine & Balance Center of NJ, LLC
- Chiropractor
- Teaneck, NJ
National Provider Identifier
1669746582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- SPINE & BALANCE CENTER OF NJ, LLC
- Practice address
- 179 Cedar LN Ste B
Teaneck, NJ 07666-4304 - Phone
- (201) 907-5092
- Fax
- (201) 596-3630
- NPI assigned
- Feb 24, 2012
- Last updated
- Sep 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karl William Nixdorf, D.C.
- Title
- Managing Partner
- Phone
- (201) 207-5322
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NJ | Primary | |
| Acupuncturist | 171100000X | NJ |
Addresses
Primary practice location
179 Cedar LN Ste B
Teaneck, NJ 07666-4304
Mailing address
179 Cedar LN
Suite F
Teaneck, NJ 07666-4304
Phone (201) 907-5092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
179 Cedar Ln
Ste B
Teaneck, NJ 07666
Phone (201) 591-3141
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Englewood Cliffs, NJ
- NPI 1154343127
-
- Clinical Psychologist
- Teaneck, NJ
- NPI 1942680020
-
- Rehabilitation Chiropractor
- Hackensack, NJ
- NPI 1265643233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568678400000",
"number": "1669746582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 CEDAR LN",
"address_2": "SUITE F",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664304",
"telephone_number": "201-907-5092",
"fax_number": "201-907-0031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 CEDAR LN STE B",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664304",
"telephone_number": "201-907-5092",
"fax_number": "201-596-3630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE & BALANCE CENTER OF NJ, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-24",
"last_updated": "2019-09-17",
"status": "A",
"authorized_official_last_name": "NIXDORF",
"authorized_official_first_name": "KARL",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "201-207-5322",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NJ",
"license": null,
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "NJ",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.