New Jersey Spine and Rehabilitation PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA06328100 Issued in NJ

Legal business name

NEW JERSEY SPINE AND REHABILITATION PC

Practice address

111 Wanaque Ave
Pompton Lakes, NJ 07442

Phone

(973) 248-8818

Fax

(973) 248-8844

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard A Kaul, M.D.

Title

Administrator

Phone

(973) 338-0980

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1801018304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BROADACRES DR.",
            "address_2": "SUITE 130",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "973-338-0980",
            "fax_number": "973-338-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WANAQUE AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "07442",
            "telephone_number": "973-248-8818",
            "fax_number": "973-248-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY SPINE AND REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "KAUL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-338-0980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06328100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Andrew Morris, D.C.
• Cole Mulholland
• Daniel Nasca
• Noah Matthew Natale
• Amanda Neil, MA, BCBA
• New Life Recovery Center,Inc
• Niaz RX Inc
• NJSR Surgical Center, LLC
• North Jersey Chiropractic Rehabilitation Center, LLC
• Daniel A Nyhuis, DMD

• Specialist in Pompton Lakes, NJ
• Providers in Pompton Lakes, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.