Organization Active NPI

Injury & Pain Center of East Orange,LLC

  • Chiropractor
  • East Orange, NJ
National Provider Identifier
1710352000
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00643000 Issued in NJ
Legal business name
INJURY & PAIN CENTER OF EAST ORANGE,LLC
Practice address
633 Central Ave
East Orange, NJ 07018-1402
Phone
(973) 672-7246
NPI assigned
Dec 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Renato Cappello, DCNPI 1447203237
Title
Sole Member
Phone
(973) 672-7246

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 38MC00643000 NJ Primary

Addresses

Primary practice location

633 Central Ave
East Orange, NJ 07018-1402

Mailing address

633 Central Ave
East Orange, NJ 07018-1402
Phone (973) 672-7246

National Provider Directory

National Provider Directory

Locations

633 Central Ave
East Orange, NJ 07018
Phone (973) 672-7246

Practitioners & affiliated clinicians

Practitioners 1

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": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1710352000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 CENTRAL AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181402",
            "telephone_number": "973-672-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 CENTRAL AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181402",
            "telephone_number": "973-672-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY & PAIN CENTER OF EAST ORANGE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "CAPPELLO",
        "authorized_official_first_name": "RENATO",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "973-672-7246",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00643000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.