SM Chiropractic & Pain Clinic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC05716 Issued in NJ

Legal business name

SM CHIROPRACTIC & PAIN CLINIC P.C.

Practice address

1711 Route 27
Edison, NJ 08817-3471

Phone

(201) 207-0023

NPI assigned

Mar 8, 2010

Organization subpart

No

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

Authorized official

Name

Samue C Park

Title

D.C.

Phone

(201) 207-0023

Specialties & licenses 1

Addresses

Tax ID family

SM Chiropractic Pain Clinic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• SM Chiropractic&Pain Clinic, P.C.

  • Chiropractor
  • Fort Lee, NJ
  • NPI 1518172360
  NPD tax ID

Locations

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1760705552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 BERGEN BLVD",
            "address_2": "SUIT 304",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076502300",
            "telephone_number": "201-207-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 ROUTE 27",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173471",
            "telephone_number": "201-207-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SM CHIROPRACTIC & PAIN CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SAMUE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "D.C.",
        "authorized_official_telephone_number": "201-207-0023"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC05716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin M Skolar, BCBA
• Kayla Skolnik, OTR/L, MSOT
• Marya Beth Slater, M.A.
• Patrice Slater
• Annamarie L Slivka, OTR/L
• Smartcare Physical Therapy PC
• Karyn C. Smarz, PH.D.
• Daniel Brian Smith, M.D.
• David Bertrand Smith, DNP, FNP-BC
• James William Smith Jr., DDS

• Chiropractor in Edison, NJ
• Providers in Edison, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.