Edward Vinnikov

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2176 Issued in CT

Practice address

6 Crosswood Way
Warren, NJ 07059-6785

Phone

(646) 705-3506

NPI assigned

Sep 9, 2020

Last updated

May 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spine and Health Center of Closter PC

  • Chiropractor
  • Closter, NJ
  • NPI 1497291728
  Medicare reassignment NPD
• The Spine and Health Center of Montvale

  • Chiropractor
  • Montvale, NJ
  • NPI 1205085024
  Medicare reassignment NPD

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1932714805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CROSSWOOD WAY",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070596785",
            "telephone_number": "646-705-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CROSSWOOD WAY",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070596785",
            "telephone_number": "646-705-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINNIKOV",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2176",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00156700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Vatalare, PT, DPT
• Brittani Vecchia, BCBA
• Lauren Vesper, OTR/L
• Susan Lynn Villa, RNFA
• Bianca Villarino, OTR/L
• Heavenly Vizcaino
• Rakhi Vyas, D.O.
• Walgreen Co (Walgreens #13706)
• Walkers Touch Massage
• Joy Walley

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.