Organization Active NPI

Plasker Chiropractic Corporation

  • Chiropractor
  • Montvale, NJ
National Provider Identifier
1689862237
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PLASKER CHIROPRACTIC CORPORATION
Practice address
25 Philips Pkwy Ste 102
Montvale, NJ 07645-1810
Phone
(201) 505-9355
Fax
(201) 505-1711
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. Jordan E. Plasker, DCNPI 1356410906
Title
President
Phone
(201) 505-9355

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 1

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

Addresses

Primary practice location

25 Philips Pkwy Ste 102
Montvale, NJ 07645-1810

Mailing address

151 W Grand Ave
Montvale, NJ 07645-2019
Phone (201) 505-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051108000005 NJ Part B Supplier - Clinic/Group Practice 4183641343 Receives reassigned benefits from 1 practitioner
Practice locations: Montvale, NJ

National Provider Directory

National Provider Directory

Locations

25 Philips Pkwy
Montvale, NJ 07645
Phone (201) 505-9355

25 Philips Pkwy
Ste 102
Montvale, NJ 07645
Phone (201) 505-9355

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1689862237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W GRAND AVE",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076452019",
            "telephone_number": "201-505-9355",
            "fax_number": "201-505-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PHILIPS PKWY STE 102",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451810",
            "telephone_number": "201-505-9355",
            "fax_number": "201-505-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASKER CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "PLASKER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-505-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montvale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.

Verify at the official NPI Registry.