Elizabeth Chiropractic & Rehab, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC04775 Issued in NJ

Legal business name

ELIZABETH CHIROPRACTIC & REHAB, PA

Practice address

560 Newark Ave
Elizabeth, NJ 07208-3307

Phone

(908) 355-3358

Fax

(908) 355-6614

NPI assigned

May 8, 2008

Last updated

Jun 28, 2021By 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

Sokratis G. Dragonas, DCNPI 1235116617

Title

Partner

Phone

(908) 355-3358

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 6

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.

• Sokratis G. Dragonas, DC

  • Chiropractor
  • Westfield, NJ
  • NPI 1235116617
  Medicare reassignment Authorized official
• Ernesto J. Marticorena, DC

  • Chiropractor
  • Elizabeth, NJ
  • NPI 1093792376
  Medicare reassignment
• Maria Sheila Rasonabe Sto Domingo, P.T.

  • Physical Therapist
  • Elizabeth, NJ
  • NPI 1790731370
  Medicare reassignment
• Astaire Perez, PT, DPT

  • Specialist
  • Berkeley Heights, NJ
  • NPI 1447226246
  NPD (past)
• Thomas Wyburn Biddlecombe

  • Physical Therapist
  • New York, NY
  • NPI 1598906653
  NPD (past)
• Yeongcheol Kim, MD

  • Specialist
  • Flushing, NY
  • NPI 1023050051
  NPD (past)

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1710154745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 NEWARK AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083307",
            "telephone_number": "908-355-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 NEWARK AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083307",
            "telephone_number": "908-355-3358",
            "fax_number": "908-355-6614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "NJ",
            "postal_code": "070902190",
            "country_code": "US",
            "telephone_number": "908-233-4200",
            "fax_number": "908-233-9020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELIZABETH CHIROPRACTIC & REHAB, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "DRAGONAS",
        "authorized_official_first_name": "SOKRATIS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "908-355-3358",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Avenue Dentistry, PC
• Elizabeth Bayway Medical Center, LLC
• Elizabeth Center for Family Medicine PC
• Elizabeth Center for Sleep and TMJ Wellness
• Elizabeth Chemists Inc (Colton's Pharmacy)
• Elizabeth Coalition to House the Homeless
• Elizabeth Dental 77 PC (Eli 1 DDS)
• Elizabeth Emergency Physicians, L.L.C.
• Elizabeth Foot and Ankle Associates PA
• Elizabeth Foot and Ankle Associates Professional Association

• Chiropractor in Elizabeth, NJ
• Providers in Elizabeth, 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 28, 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.