Organization Active NPI

Paramus Medical & Sports Rehabilitation Center, LLC

  • Sports Physician Chiropractor
  • Paramus, NJ
National Provider Identifier
1841244829
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
38MC00183600 Issued in NJ
Legal business name
PARAMUS MEDICAL & SPORTS REHABILITATION CENTER, LLC
Practice address
205 Robin Rd
Suite 118
Paramus, NJ 07652-1449
Phone
(201) 225-1511
Fax
(201) 225-9731
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Marc Picchieri, DC
Title
Owner
Phone
(201) 225-1511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 38MC00183600 NJ Primary

Addresses

Primary practice location

205 Robin Rd
Suite 118
Paramus, NJ 07652-1449

Mailing address

205 Robin Rd
Suite 118
Paramus, NJ 07652-1449
Phone (201) 225-1511

National Provider Directory

National Provider Directory

Locations

82 Totowa Rd
Ste 1
Wayne, NJ 07470

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1841244829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ROBIN RD",
            "address_2": "SUITE 118",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521449",
            "telephone_number": "201-225-1511",
            "fax_number": "201-225-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ROBIN RD",
            "address_2": "SUITE 118",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521449",
            "telephone_number": "201-225-1511",
            "fax_number": "201-225-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMUS MEDICAL & SPORTS REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "PICCHIERI",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-225-1511",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00183600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.