Headache Neck and Low Back Pain Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00209000 Issued in NJ

Legal business name

HEADACHE NECK AND LOW BACK PAIN CENTER LLC

Practice address

577 Chestnut Ridge Rd
Woodcliff Lake, NJ 07677-8409

Phone

(201) 391-0805

NPI assigned

Feb 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gary Sherman, DC

Title

President

Phone

(201) 788-7945

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1770723405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 MOWERSON PL",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303223",
            "telephone_number": "201-788-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 CHESTNUT RIDGE RD",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778409",
            "telephone_number": "201-391-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADACHE NECK AND LOW BACK PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-788-7945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00209000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Woodcliff Lake, NJ
• Providers in Woodcliff Lake, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.