Organization Active NPI

Elite Chiro and Rehab LLC

  • Chiropractor
  • Clifton, NJ
National Provider Identifier
1720812712
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ELITE CHIRO AND REHAB LLC
Practice address
71 Crooks Ave
Clifton, NJ 07011-1074
Phone
(973) 753-2820
Fax
(973) 753-2822
NPI assigned
Aug 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Dr. Mario V Marasovic, DCNPI 1205145182
Title
Owner
Phone
(973) 758-2820

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

71 Crooks Ave
Clifton, NJ 07011-1074

Mailing address

71 Crooks Ave
Clifton, NJ 07011-1074
Phone (973) 753-2820

National Provider Directory

National Provider Directory

Locations

71 Crooks Ave
Clifton, NJ 07011
Phone (973) 753-2820

Practitioners & affiliated clinicians

Practitioners 2

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": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1720812712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 CROOKS AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111074",
            "telephone_number": "973-753-2820",
            "fax_number": "973-753-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 CROOKS AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111074",
            "telephone_number": "973-753-2820",
            "fax_number": "973-753-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CHIRO AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "MARASOVIC",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-758-2820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.