Organization Active NPI

Obebe Memrial Chiropractic Center, P.C.

  • Chiropractor
  • Irvington, NJ
National Provider Identifier
1679913107
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OBEBE MEMRIAL CHIROPRACTIC CENTER, P.C.
Practice address
989 Sanford Ave
Irvington, NJ 07111-1444
Phone
(973) 372-4747
Fax
(973) 372-4116
NPI assigned
Jun 28, 2013
Last updated
Jun 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Christiana Olanrewaju Obebe, D.C.
Title
Director
Phone
(973) 372-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

989 Sanford Ave
Irvington, NJ 07111-1444

Mailing address

989 Sanford Ave
Irvington, NJ 07111-1444
Phone (973) 372-4747

National Provider Directory

National Provider Directory

Locations

989 Sanford Ave
Irvington, NJ 07111
Phone (973) 821-3065

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1679913107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 SANFORD AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111444",
            "telephone_number": "973-372-4747",
            "fax_number": "973-372-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 SANFORD AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111444",
            "telephone_number": "973-372-4747",
            "fax_number": "973-372-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBEBE MEMRIAL CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "OBEBE",
        "authorized_official_first_name": "CHRISTIANA",
        "authorized_official_middle_name": "OLANREWAJU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-372-4747",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.