Organization Active NPI

The Back Care Center, LLC

  • Chiropractor
  • Dumont, NJ
National Provider Identifier
1700477239
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THE BACK CARE CENTER, LLC
Practice address
24 Grant Avenue
Dumont, NJ 07628-1630
Phone
(201) 387-7463
Fax
(201) 387-2360
NPI assigned
Jan 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Authorized official

Name
Dr. David B Schwartz, DCNPI 1235292699
Title
Sole Member
Phone
(201) 387-7463

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

24 Grant Avenue
Dumont, NJ 07628-1630

Mailing address

24 Grant Avenue
Dumont, NJ 07628-1630
Phone (201) 387-7463

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220210000400 NJ Part B Supplier - Clinic/Group Practice 3476946609 Receives reassigned benefits from 2 practitioners
Practice locations: Dumont, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1700477239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GRANT AVENUE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281630",
            "telephone_number": "201-387-7463",
            "fax_number": "201-387-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 GRANT AVENUE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281630",
            "telephone_number": "201-387-7463",
            "fax_number": "201-387-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BACK CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "201-387-7463",
        "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 Dumont, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.