Organization Active NPI

Hudson Spine Institute

  • Rehabilitation Chiropractor
  • North Bergen, NJ
National Provider Identifier
1790387371
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
HUDSON SPINE INSTITUTE
Practice address
8901 Kennedy Blvd Ste 3W
North Bergen, NJ 07047-5392
Phone
(201) 907-4727
Fax
(201) 907-4737
NPI assigned
Nov 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Crystal Leslie
Title
Office Manager
Phone
(201) 838-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

8901 Kennedy Blvd Ste 3W
North Bergen, NJ 07047-5392

Mailing address

8901 Kennedy Blvd Ste 3W
North Bergen, NJ 07047-5392
Phone (201) 907-4727

National Provider Directory

National Provider Directory

Locations

8901 Kennedy Blvd
Ste 3W
North Bergen, NJ 07047
Phone (201) 907-4727

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1790387371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 KENNEDY BLVD STE 3W",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475392",
            "telephone_number": "201-907-4727",
            "fax_number": "201-907-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 KENNEDY BLVD STE 3W",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475392",
            "telephone_number": "201-907-4727",
            "fax_number": "201-907-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON SPINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "LESLIE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-838-1900"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.