Organization Active NPI

Morris Avenue Chiropractic LLC

  • Chiropractor
  • Union, NJ
National Provider Identifier
1962540468
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC003816 Issued in NJ
Legal business name
MORRIS AVENUE CHIROPRACTIC LLC
Practice address
1362 Morris Ave
Union, NJ 07083-3342
Phone
(908) 688-0505
Fax
(908) 851-0009
NPI assigned
Feb 5, 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
David A Allen, DC
Title
President
Phone
(908) 688-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X MC003816 NJ Primary

Addresses

Primary practice location

1362 Morris Ave
Union, NJ 07083-3342

Mailing address

1362 Morris Ave
Union, NJ 07083-3342
Phone (908) 688-0505

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962540468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833342",
            "telephone_number": "908-688-0505",
            "fax_number": "908-851-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833342",
            "telephone_number": "908-688-0505",
            "fax_number": "908-851-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS AVENUE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-688-0505",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC003816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.