Dr Andrew a McBain DC PC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

38MC00234300 Issued in NJ

Legal business name

DR ANDREW A MCBAIN DC PC

Practice address

590 Anderson Ave
Cliffside Park, NJ 07010-1721

Phone

(201) 941-8667

Fax

(201) 941-3353

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Andrew A. McBain, DC

Title

President

Phone

(201) 941-8667

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1740338599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101721",
            "telephone_number": "201-941-8667",
            "fax_number": "201-941-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101721",
            "telephone_number": "201-941-8667",
            "fax_number": "201-941-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ANDREW A MCBAIN DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "MCBAIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-941-8667",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00234300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Physician Chiropractor in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.