Rapha Chiropractic P.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RAPHA CHIROPRACTIC P.C

Practice address

464 Hudson Ter Ste 204
Englewood Cliffs, NJ 07632-2917

Phone

(201) 567-0005

Fax

(201) 567-0051

NPI assigned

Oct 15, 2019

Organization subpart

No

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

Authorized official

Name

Sam Chang, DC

Title

Chiropractor

Phone

(201) 567-0005

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1851933592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 HUDSON TER STE 204",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322917",
            "telephone_number": "201-567-0005",
            "fax_number": "201-567-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 HUDSON TER STE 204",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322917",
            "telephone_number": "201-567-0005",
            "fax_number": "201-567-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA CHIROPRACTIC P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "201-567-0005",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.