NPIMap

Organization Active NPI

Injury Brake Chiropractic Center, LLC

  • Chiropractor
  • Elizabeth, NJ
National Provider Identifier
1780014167
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00674200 Issued in NJ
Legal business name
INJURY BRAKE CHIROPRACTIC CENTER, LLC
Practice address
1019 E Jersey St
Elizabeth, NJ 07201-5503
Phone
(908) 469-6500
Fax
(908) 469-6499
NPI assigned
Nov 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Authorized official

Name
Mr. Scott Allen Garner, DC
Title
President/Chiropractic
Phone
(908) 469-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00674200 NJ Primary

Addresses

Primary practice location

1019 E Jersey St
Elizabeth, NJ 07201-5503

Mailing address

1019 E Jersey St
Elizabeth, NJ 07201-5503
Phone (908) 469-6500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1780014167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 E JERSEY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072015503",
            "telephone_number": "908-469-6500",
            "fax_number": "908-469-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 E JERSEY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072015503",
            "telephone_number": "908-469-6500",
            "fax_number": "908-469-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY BRAKE CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTIC",
        "authorized_official_telephone_number": "908-469-6500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00674200",
            "primary": true
        }
    ],
    "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 Nov 20, 2013; 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.