Organization Active NPI

D & a Chiropractic Center, LLC

  • Chiropractor
  • Lyndhurst, NJ
National Provider Identifier
1902943871
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00623900 Issued in NJ
Legal business name
D & A CHIROPRACTIC CENTER, LLC
Practice address
136 Ridge Rd
Lyndhurst, NJ 07071-1269
Phone
(201) 531-9500
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David John Depalma, D.C.NPI 1952332264
Title
Sole-Proprietor
Phone
(201) 531-9500

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00623900 NJ Primary

Addresses

Primary practice location

136 Ridge Rd
Lyndhurst, NJ 07071-1269

Mailing address

348 Roosevelt Ave
Hasbrouck Heights, NJ 07604-1614
Phone (201) 531-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070203000057 NJ Part B Supplier - Clinic/Group Practice 7012919087 Receives reassigned benefits from 1 practitioner
Practice locations: Saddle Brook, NJ

National Provider Directory

National Provider Directory

Locations

136 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 531-9500

336 W Passaic St
Ste 3
Rochelle Park, NJ 07662
Phone (201) 712-1400

160 Market St
Saddle Brook, NJ 07663
Phone (201) 587-8755

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902943871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 ROOSEVELT AVE",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041614",
            "telephone_number": "201-531-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711269",
            "telephone_number": "201-531-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & A CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEPALMA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "SOLE-PROPRIETOR",
        "authorized_official_telephone_number": "201-531-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00623900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.