Active NPI
Lafayette Street Chiropractic Center PC
- Chiropractor
- Newark, NJ
National Provider Identifier
1942237995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00539100
- Legal business name
- LAFAYETTE STREET CHIROPRACTIC CENTER PC
- Practice address
- 123 Clifford St., Ste 105
Newark, NJ 07105 - Phone
- (973) 466-3810
- NPI assigned
- Jun 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jesse J Burrini Jr., D.C.
- Title
- President
- Phone
- (973) 466-3810
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00539100 | NJ | Primary |
Addresses
Primary practice location
123 Clifford St., Ste 105
Newark, NJ 07105
Mailing address
123 Clifford Street, Suite 105
Newark, NJ 07105
Phone (973) 466-3810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
123 Clifford St
Ste 105
Newark, NJ 07105
Phone (973) 466-3810
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Newark, NJ
- NPI 1457388381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186012800000",
"number": "1942237995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 CLIFFORD STREET, SUITE 105",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07105",
"telephone_number": "973-466-3810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 CLIFFORD ST., STE 105",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07105",
"telephone_number": "973-466-3810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAFAYETTE STREET CHIROPRACTIC CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-26",
"last_updated": "2007-08-02",
"status": "A",
"authorized_official_last_name": "BURRINI",
"authorized_official_first_name": "JESSE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-466-3810",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00539100",
"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 2, 2007; 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.