Maplewood Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00553500 Issued in NJ

Legal business name

MAPLEWOOD CHIROPRACTIC PC

Practice address

36 Lydia Dr
Guttenberg, NJ 07093-8366

Phone

(201) 317-6104

NPI assigned

Jul 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Dominic Mazza, DCNPI 1659516466

Title

President

Phone

(201) 317-6104

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dominic Mazza, D.C

  • Chiropractor
  • Guttenberg, NJ
  • NPI 1659516466
  NPD (past) Authorized official

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1962819607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 LYDIA DR",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070938366",
            "telephone_number": "201-317-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 LYDIA DR",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070938366",
            "telephone_number": "201-317-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEWOOD CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "MAZZA",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-317-6104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00553500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "X009462-1",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE NUMBER",
            "identifier": "38MC00553500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Young K Lee, LIC.ACUPUNCTURIST
• Conzuelo Leiva, LAC
• Yilliam Lopez del Bosque, NP-C
• Terrylee Maimone, O.D.
• Manoj Malhotra, MD
• Dominic Mazza, D.C
• McAreh Medical P.C.
• Parviz Moazami, M.D.
• Nabeel M Najib, MD
• Stephanie No, APRN, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.