Advanced Therapeutic Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00606600 Issued in NJ

Legal business name

ADVANCED THERAPEUTIC CENTER LLC

Practice address

96 Millburn Ave # 98
101A
Millburn, NJ 07041-1944

Phone

(973) 378-5611

Fax

(973) 378-2037

NPI assigned

Feb 28, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Judd Paul Davis, DC

Title

Clinical Director

Phone

(973) 378-5611

Specialties & licenses 1

Addresses

Locations

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.

• Kazeem Alao Olajide

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, NJ
  • NPI 1184110165
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699802413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96-98 MILLBURN AVE",
            "address_2": "101A",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "07041",
            "telephone_number": "973-378-5611",
            "fax_number": "973-378-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 MILLBURN AVE # 98",
            "address_2": "101A",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411944",
            "telephone_number": "973-378-5611",
            "fax_number": "973-378-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED THERAPEUTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JUDD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "973-378-5611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00606600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safiya Abouzaid
• Acn Health, LLC
• Yetunde Adeola, MD
• Advanced Ambulatory Anesthesiologists LLC
• Advanced Comprehensive Laboratory
• Agape Touch LLC Dba Preferred Care at Home of Northeast New Jersey (Preferred Care at Home)
• Idrees Ahmad, M.D.
• Andrea Alexander, MD
• Dominick Algeri
• All Care Pediatrics PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.