Oakland Spine & Sports LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

OAKLAND SPINE & SPORTS LLC

Practice address

340 Ramapo Valley Rd
Oakland, NJ 07436-2711

Phone

(201) 501-8500

NPI assigned

Dec 12, 2011

Last updated

Dec 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George C Scordilis, DC

Title

Managing Member

Phone

(201) 501-8500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph J Licitra, DC

  • Chiropractor
  • Bloomfield, NJ
  • NPI 1891795514
  NPD

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1801164314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 RAMAPO VALLEY RD",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 RAMAPO VALLEY RD",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362711",
            "telephone_number": "201-501-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND SPINE & SPORTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "SCORDILIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "201-501-8500",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oakland Premier Dental
• Oakland Primary Care
• Oakland Primary Care LLC
• Oakland Public Schools
• Oakland Smile Station
• Oakland Vision Center Doctors Office, LLC
• Olive Tree Speech Therapy
• Albert Ortega, RPH
• Paavan Healthcare LLC (Oakland Drugs)
• Alana Rose Padamadan, O.D.

• Chiropractor in Oakland, NJ
• Providers in Oakland, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.