Active NPI
Baver and Corduan Family Chiropractic Health Center P.C.
- Chiropractor
- Woodbridge, NJ
National Provider Identifier
1770762056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MCO3135
- Legal business name
- BAVER AND CORDUAN FAMILY CHIROPRACTIC HEALTH CENTER P.C.
- Practice address
- 1 Woodbridge Ctr
Suite 245
Woodbridge, NJ 07095-1150 - Phone
- (732) 855-8522
- Fax
- (732) 634-7920
- NPI assigned
- Nov 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lisa Marie Corduan, DC
- Title
- President
- Phone
- (732) 855-8522
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MCO3135 | NJ | Primary |
Addresses
Primary practice location
1 Woodbridge Ctr
Suite 245
Woodbridge, NJ 07095-1150
Mailing address
1 Woodbridge Ctr
Suite 245
Woodbridge, NJ 07095-1150
Phone (732) 855-8522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
784 Chimney Rock Rd
Ste E
Martinsville, NJ 08836
Phone (732) 302-1860
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Woodbridge, NJ
- NPI 1023153046
-
- Chiropractor
- Woodbridge, NJ
- NPI 1366577694
-
- Podiatrist
- Avenel, NJ
- NPI 1225050230
-
- Internal Medicine Physician
- Waldwick, NJ
- NPI 1235165085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236211200000",
"number": "1770762056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WOODBRIDGE CTR",
"address_2": "SUITE 245",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070951150",
"telephone_number": "732-855-8522",
"fax_number": "732-634-7920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WOODBRIDGE CTR",
"address_2": "SUITE 245",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070951150",
"telephone_number": "732-855-8522",
"fax_number": "732-634-7920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAVER AND CORDUAN FAMILY CHIROPRACTIC HEALTH CENTER P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-02",
"last_updated": "2009-03-05",
"status": "A",
"authorized_official_last_name": "CORDUAN",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-855-8522",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NJ",
"license": "MCO3135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.