Active NPI
Jack A. Atzmon
- Chiropractor
- Riverdale, NJ
National Provider Identifier
1962565648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00705700
- Practice address
- 47 Hamburg Tpke
Riverdale, NJ 07457-1127 - Phone
- (973) 874-7777
- Fax
- (973) 341-7791
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00705700 | NJ | Primary |
| Chiropractor | 111N00000X | X007493 | NY |
Addresses
Primary practice location
47 Hamburg Tpke
Riverdale, NJ 07457-1127
Mailing address
47 Hamburg Tpke
Riverdale, NJ 07457-1127
Phone (973) 874-9777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00705700 | NJ | MD | Chiropractor |
| X007493 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NJ Custom Bracing | Current | Accepting new patients | |
| Atzmon Chiropractic and Health Center LLC | Chiropractor | Current | Accepting new patients |
| Allianze Medical Group PC | Chiropractor | Past | Accepting new patients |
| Allcare Physical Therapy & Wellness, LLC | Chiropractor | Past | Accepting new patients |
Locations
169 Union Blvd
Fl 2
Totowa, NJ 07512
Phone (973) 847-9777
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BDGEDD/Endpoint/BDGEDD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Riverdale, NJ
- NPI 1669963120
-
- Customized Equipment (DME)
- Riverdale, NJ
- NPI 1972344372
-
- Chiropractor
- Totowa, NJ
- NPI 1255499802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716076800000",
"number": "1962565648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 HAMBURG TPKE",
"city": "RIVERDALE",
"state": "NJ",
"postal_code": "074571127",
"telephone_number": "973-874-9777",
"fax_number": "973-341-7791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 HAMBURG TPKE",
"city": "RIVERDALE",
"state": "NJ",
"postal_code": "074571127",
"telephone_number": "973-874-7777",
"fax_number": "973-341-7791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATZMON",
"first_name": "JACK",
"middle_name": "A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2024-05-19",
"certification_date": "2024-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00705700",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X007493",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, NJ
- Stefanie A Allegrino, M.A.,LPC
- Allergy & Asthma Specialists, P.C.
- Amada Senior Care Morris LLC
- Animal Dermatology & Allergy Specialists, LLC
- Atzmon Chiropractic and Health Center LLC
- Avant Garde Total Wellness Centers LLC
- Sharon Lee Axelrod, AU.D.
- Pamela Baladi, PA-C
- Andrew M Bernstein, D.O.
- Bria Gabrielle Bernstein, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2024; 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.