Main Spine and Rehab LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00508700 Issued in NJ

Legal business name

MAIN SPINE AND REHAB LLC

Practice address

1029 Main St
Paterson, NJ 07503-2200

Phone

(973) 523-4555

Fax

(973) 523-4520

NPI assigned

Oct 26, 2017

Organization subpart

No

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

Authorized official

Name

Dr. James Marshall, DC

Title

Chiropractor

Phone

(973) 523-4555

Specialties & licenses 1

Addresses

Other names 1

• MAIN SPINE AND REHAB LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mauricio Restrepo, M.D. FAAP

  • Pediatrics Physician
  • Dover, NJ
  • NPI 1568608370
  NPD

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1699287003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032200",
            "telephone_number": "973-523-4555",
            "fax_number": "973-523-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032200",
            "telephone_number": "973-523-4555",
            "fax_number": "973-523-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN SPINE AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "973-523-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00508700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIN SPINE AND REHAB LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Anas M Mahmoud, MD
• Maimon Care PC
• Main Chiro-Care Center PC
• Main Foot and Ankle Clinic LLC
• Main Med Health
• Main St. Optical LLC
• Main Street RX
• Maincare Infusion LLC
• Camillia Malhis
• Sudha Malhotra, PT

• Chiropractor in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.