Chiropractic Lane and Rehab, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00671700 Issued in NJ

Legal business name

CHIROPRACTIC LANE AND REHAB, LLC

Practice address

290 Ferry St
Suite A1
Newark, NJ 07105-3475

Phone

(973) 344-5656

Fax

(973) 344-5633

NPI assigned

Jan 15, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Gerald Jacob Lane, DC

Title

Owner

Phone

(973) 344-5656

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1942547518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 FERRY ST",
            "address_2": "SUITE A1",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053475",
            "telephone_number": "973-344-5656",
            "fax_number": "973-344-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 FERRY ST",
            "address_2": "SUITE A1",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053475",
            "telephone_number": "973-344-5656",
            "fax_number": "973-344-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC LANE AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-344-5656",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00671700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmarie Chinchay
• Jessica Chineme
• Lawrence Willis Chinn Sr., MD
• Natasha R Chinn, M.D.
• Warren A Chiodo, DPM
• Mariam Chishty, MD
• Subhanir Sunil Chitnis
• Casey Yeonjoo Cho, APN
• Eun-Sook Cho, M.D.
• Hyun Ju Cho, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.