Alireza a. Foroushani, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

38MC00658900 Issued in NJ

Legal business name

ALIREZA A. FOROUSHANI, PC

Doing business as

Wyckoff Family Chiropractic & Spinal Health Care Center

Practice address

260 Godwin Ave
Suite 7
Wyckoff, NJ 07481-5200

Phone

(201) 485-7518

Fax

(201) 485-7517

NPI assigned

Dec 29, 2008

Last updated

Apr 20, 2009By 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

Dr. Alireza Abtahi Foroushani, D.C.

Title

Owner

Phone

(201) 485-7518

Specialties & licenses 1

Addresses

Other names 1

• Wyckoff Family Chiropractic & Spinal Health Care Center Doing business as

Locations

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1821234626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 GODWIN AVE",
            "address_2": "SUITE 7",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074815200",
            "telephone_number": "201-485-7518",
            "fax_number": "201-485-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 GODWIN AVE",
            "address_2": "SUITE 7",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074815200",
            "telephone_number": "201-485-7518",
            "fax_number": "201-485-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIREZA A. FOROUSHANI, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "FOROUSHANI",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_middle_name": "ABTAHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-485-7518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "38MC00658900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyckoff Family Chiropractic & Spinal Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.