Organization Active NPI

Spine and Rehabilitation Center of Jersey City LLC

  • Chiropractor
  • Elizabeth, NJ
National Provider Identifier
1740712314
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPINE AND REHABILITATION CENTER OF JERSEY CITY LLC
Practice address
511 Westminster Ave
Elizabeth, NJ 07208-2202
Phone
(908) 558-9500
NPI assigned
Apr 1, 2017
Last updated
Dec 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Authorized official

Name
Dr. Michael Latza
Title
Owner
Phone
(908) 764-7704

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary
Physical Therapist 225100000X

Addresses

Primary practice location

511 Westminster Ave
Elizabeth, NJ 07208-2202

Mailing address

3053 Kennedy Blvd
Jersey City, NJ 07306-3605
Phone (201) 839-5380

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1491004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1740712314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063605",
            "telephone_number": "201-839-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 WESTMINSTER AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072082202",
            "telephone_number": "908-558-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND REHABILITATION CENTER OF JERSEY CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-01",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "LATZA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-764-7704",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.