Back & Neck Pain Center of Greenwich, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

989 Issued in CT

Legal business name

BACK & NECK PAIN CENTER OF GREENWICH, P.C.

Practice address

100 Melrose Ave
Suite 101
Greenwich, CT 06830-6257

Phone

(203) 629-0202

Fax

(203) 629-0765

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Adrian M Marcus, DC

Title

President

Phone

(203) 629-0202

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1699863571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MELROSE AVE",
            "address_2": "SUITE 101",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306257",
            "telephone_number": "203-629-0202",
            "fax_number": "203-629-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MELROSE AVE",
            "address_2": "SUITE 101",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306257",
            "telephone_number": "203-629-0202",
            "fax_number": "203-629-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK & NECK PAIN CENTER OF GREENWICH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-629-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "989",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eric Myer Bader, M.D.
• Allison M Bain, CRNA

• All providers in Greenwich, CT
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.