All City Spine and Health Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00703500 Issued in NJ

Legal business name

ALL CITY SPINE AND HEALTH CENTER LLC

Practice address

40 Union Ave
Suite 305
Irvington, NJ 07111-3277

Phone

(203) 260-3476

NPI assigned

Jul 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Emmanuel Marie Renaudo, DC

Title

Chiropractor

Phone

(203) 260-3476

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1780036590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 UNION AVE",
            "address_2": "SUITE 305",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113277",
            "telephone_number": "203-260-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 UNION AVE",
            "address_2": "SUITE 305",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113277",
            "telephone_number": "203-260-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL CITY SPINE AND HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "RENAUDO",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "203-260-3476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00703500",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "28MA008569300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.