Garden State Spinal Care

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00655600 Issued in NJ

Legal business name

GARDEN STATE SPINAL CARE

Practice address

4 Brighton Rd Ste 304
Clifton, NJ 07012-1665

Phone

(732) 570-8491

Fax

(973) 860-2434

NPI assigned

Dec 8, 2017

Last updated

Dec 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Catherine Dour, DCNPI 1124352265

Title

Owner/Chiropractor

Phone

(732) 570-8491

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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.

• Jennifer Dour, DC

  • Chiropractor
  • Clifton, NJ
  • NPI 1124352265
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1861907180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRIGHTON RD STE 304",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121665",
            "fax_number": "973-860-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BRIGHTON RD STE 304",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121665",
            "telephone_number": "732-570-8491",
            "fax_number": "973-860-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE SPINAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "DOUR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "732-570-8491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00655600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Garcia, DMD
• Garden State Orthopaedic Associates, P.a.
• Garden State Pain Control Center
• Garden State Pain Control Center P.a.
• Garden State Pain Management, PA
• Garden State Spine and Pain Centers
• Garden State Sports & Pain Medicine, LLC
• Scott William Gardner, D.C.
• Michelle Gargiulo
• Jane Ashley Garner, ADV PRACTICE NURSE

• Chiropractor in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.