Organization Active NPI

John M. Liaci, D.C.-LLC

  • Chiropractor
  • Oak Ridge, NJ
National Provider Identifier
1841561735
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC04291 Issued in NJ
Legal business name
JOHN M. LIACI, D.C.-LLC
Practice address
32 Sleepy Hollow Dr
Oak Ridge, NJ 07438-9351
Phone
(973) 509-7675
NPI assigned
Jan 24, 2012
Last updated
Jan 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
John M Liaci Sr., DCNPI 1952487837
Title
Sole Proprietor
Phone
(973) 509-7675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC04291 NJ Primary

Addresses

Primary practice location

32 Sleepy Hollow Dr
Oak Ridge, NJ 07438-9351

Mailing address

100 Valley Rd
Montclair, NJ 07042-2200
Phone (973) 509-7675

National Provider Directory

National Provider Directory

Locations

100 Valley Rd
Montclair, NJ 07042
Phone (973) 509-7075

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": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1841561735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VALLEY RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422200",
            "telephone_number": "973-509-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SLEEPY HOLLOW DR",
            "city": "OAK RIDGE",
            "state": "NJ",
            "postal_code": "074389351",
            "telephone_number": "973-509-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. LIACI, D.C.-LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "LIACI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "973-509-7675",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.