Organization Active NPI

Medical Centers of Northern New Jersey

  • Chiropractor
  • Ridgewood, NJ
National Provider Identifier
1942506076
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MEDICAL CENTERS OF NORTHERN NEW JERSEY
Practice address
195 S Maple Ave
Ridgewood, NJ 07450-5142
Phone
(973) 953-8105
NPI assigned
Feb 8, 2011
Organization subpart
Yes
Parent organization
MEDICAL CENTERS OF NORTHERN NEW JERSEYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Joshua Duffy, DC
Title
Ceo
Phone
(973) 953-8105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

195 S Maple Ave
Ridgewood, NJ 07450-5142

Mailing address

195 S Maple Ave
Ridgewood, NJ 07450-5142
Phone (973) 953-8105

National Provider Directory

National Provider Directory
Tax ID family
Medical Centers of Northern New Jersey LLC2 organizations share this tax ID, including this one
Part of
Medical Centers of Northern New Jersey LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1942506076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 S MAPLE AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074505142",
            "telephone_number": "973-953-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S MAPLE AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074505142",
            "telephone_number": "973-953-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTERS OF NORTHERN NEW JERSEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL CENTERS OF NORTHERN NEW JERSEY",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-953-8105",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.