Organization Active NPI

Congress Rehabilitation Center, P.a.

  • Chiropractor
  • Newark, NJ
National Provider Identifier
1861625931
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC 4155 Issued in NJ
Legal business name
CONGRESS REHABILITATION CENTER, P.A.
Practice address
91 Congress St.
Newark, NJ 07105
Phone
(973) 732-3505
NPI assigned
Aug 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Dr. Ernesto Marticorena, D.C.
Title
Chiropractor
Phone
(973) 732-3505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X MC 4155 NJ Primary

Addresses

Primary practice location

91 Congress St.
Newark, NJ 07105

Mailing address

91 Congress St.
Newark, NJ 07105

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1861625931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 CONGRESS ST.",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CONGRESS ST.",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07105",
            "telephone_number": "973-732-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONGRESS REHABILITATION CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "MARTICORENA",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "973-732-3505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC 4155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.