Organization Active NPI

Spine and Rehabilitation Center of West New York LLC

  • Chiropractor
  • West New York, NJ
National Provider Identifier
1821542192
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPINE AND REHABILITATION CENTER OF WEST NEW YORK LLC
Practice address
6000 Kennedy Blvd W
West New York, NJ 07093-1414
Phone
(201) 758-0099
Fax
(201) 758-2992
NPI assigned
Aug 4, 2016
Last updated
Feb 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Authorized official

Name
Dr. Michael John Latza, DC
Title
Manager
Phone
(908) 764-7704

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

6000 Kennedy Blvd W
West New York, NJ 07093-1414

Mailing address

6000 Kennedy Blvd W
West New York, NJ 07093-1414
Phone (201) 758-0099

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1821542192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 KENNEDY BLVD W",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931414",
            "telephone_number": "201-758-0099",
            "fax_number": "201-758-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 KENNEDY BLVD W",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931414",
            "telephone_number": "201-758-0099",
            "fax_number": "201-758-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND REHABILITATION CENTER OF WEST NEW YORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "LATZA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "908-764-7704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.