NPIMap

Organization Active NPI

Imbrogno Chiropractic Center, P.a.

  • Chiropractor
  • Montclair, NJ
National Provider Identifier
1740305648
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00415400 Issued in NJ
Legal business name
IMBROGNO CHIROPRACTIC CENTER, P.A.
Practice address
33 Plymouth St Ste 102
Montclair, NJ 07042-2677
Phone
(973) 783-0444
Fax
(973) 783-4428
NPI assigned
Mar 20, 2007
Last updated
Nov 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Authorized official

Name
Dr. Loretta A. Imbrogno, D.C.NPI 1699822817
Title
Owner
Phone
(973) 783-0444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00415400 NJ Primary

Addresses

Primary practice location

33 Plymouth St Ste 102
Montclair, NJ 07042-2677

Mailing address

33 Plymouth St Ste 102
Montclair, NJ 07042-2677
Phone (973) 783-0444

National Provider Directory

National Provider Directory

Locations

1 Greenwood Ave
Ste 205
Montclair, NJ 07042
Phone (973) 783-0444

33 Plymouth St
Ste 102
Montclair, NJ 07042
Phone (973) 783-0444

Practitioners & affiliated clinicians

Practitioners 4

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1740305648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PLYMOUTH ST STE 102",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422677",
            "telephone_number": "973-783-0444",
            "fax_number": "973-783-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PLYMOUTH ST STE 102",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422677",
            "telephone_number": "973-783-0444",
            "fax_number": "973-783-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMBROGNO CHIROPRACTIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2017-11-01",
        "status": "A",
        "authorized_official_last_name": "IMBROGNO",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-783-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00415400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.