Organization Active NPI

Keith D Werner DC PA

  • Chiropractor
  • Oradell, NJ
National Provider Identifier
1700156098
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00156200 Issued in NJ
Legal business name
KEITH D WERNER DC PA
Practice address
831 Oradell Ave
Oradell, NJ 07649-2033
Phone
(201) 262-0866
Fax
(201) 265-9585
NPI assigned
Jan 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Keith Werner, DC
Title
Chiropractic Physician
Phone
(201) 262-0866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00156200 NJ Primary

Addresses

Primary practice location

831 Oradell Ave
Oradell, NJ 07649-2033

Mailing address

831 Oradell Ave
Oradell, NJ 07649-2033
Phone (201) 262-0866

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1700156098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 ORADELL AVE",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076492033",
            "telephone_number": "201-262-0866",
            "fax_number": "201-265-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 ORADELL AVE",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076492033",
            "telephone_number": "201-262-0866",
            "fax_number": "201-265-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH D WERNER DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "201-262-0866",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00156200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oradell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.