Organization Active NPI

Meadowlands Chiropractic Center, P.a.

  • Chiropractor
  • Lyndhurst, NJ
National Provider Identifier
1730280199
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00131700 Issued in NJ
Legal business name
MEADOWLANDS CHIROPRACTIC CENTER, P.A.
Practice address
360 Ridge Rd
Lyndhurst, NJ 07071-2212
Phone
(201) 438-2404
Fax
(201) 438-5739
NPI assigned
Sep 26, 2006
Last updated
Mar 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Dr. Frank V. Zaccaria, D.C.NPI 1467553917
Title
Director
Phone
(201) 438-2404

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
Chiropractor 111N00000X 38MC00131700 NJ Primary

Addresses

Primary practice location

360 Ridge Rd
Lyndhurst, NJ 07071-2212

Mailing address

360 Ridge Rd
Lyndhurst, NJ 07071-2212
Phone (201) 438-2404

Other identifiers 10

IdentifierTypeStateIssuer
0936093OtherNJAETNA
460651OtherNJAMERIHEALTH
FZ0X3W0210OtherNJEMPIRE BLUE CROSS BLUE SH
1076624OtherNJNJ HEALTH HORIZON HMO
1006489OtherNJAMERICAN SPECIALTY HEALTH
2995603MedicaidNJ
4066261OtherNJCIGNA HEALTH CARE
8211-161OtherNJGHI
P538623OtherNJOXFORD
NJ01317OtherNJGUARDIAN HEALTH NET

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080422000269 NJ Part B Supplier - Clinic/Group Practice 8224116934 Receives reassigned benefits from 1 practitioner
Practice locations: Lyndhurst, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1730280199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070712212",
            "telephone_number": "201-438-2404",
            "fax_number": "201-438-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070712212",
            "telephone_number": "201-438-2404",
            "fax_number": "201-438-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWLANDS CHIROPRACTIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "ZACCARIA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-438-2404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00131700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0936093",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "460651",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "FZ0X3W0210",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ HEALTH HORIZON HMO",
            "identifier": "1076624",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY HEALTH",
            "identifier": "1006489",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2995603",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH CARE",
            "identifier": "4066261",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "8211-161",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P538623",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GUARDIAN HEALTH NET",
            "identifier": "NJ01317",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.