Organization Active NPI

Bayside Spine and Rehab Center LLC

  • Chiropractor
  • Perth Amboy, NJ
National Provider Identifier
1801046164
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BAYSIDE SPINE AND REHAB CENTER LLC
Practice address
202 Jefferson St
Perth Amboy, NJ 08861-4106
Phone
(848) 203-3299
NPI assigned
Sep 23, 2008
Last updated
Sep 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Dr. Mark Sielski, DC
Title
Director
Phone
(848) 203-3299

Specialties & licenses 1

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

Addresses

Primary practice location

202 Jefferson St
Perth Amboy, NJ 08861-4106

Mailing address

202 Jefferson St
Perth Amboy, NJ 08861-4106
Phone (848) 203-3299

National Provider Directory

National Provider Directory
Tax ID family
Bayside Spine and Rehab Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

202 Jefferson St
Perth Amboy, NJ 08861
Phone (732) 324-1002

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1801046164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 JEFFERSON ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614106",
            "telephone_number": "848-203-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 JEFFERSON ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614106",
            "telephone_number": "848-203-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE SPINE AND REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "SIELSKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "848-203-3299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.