NPIMap

Organization Active NPI

Hudson Sport and Spine

  • Chiropractor
  • Hoboken, NJ
National Provider Identifier
1962943860
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00669700 Issued in NJ
Legal business name
HUDSON SPORT AND SPINE
Practice address
70 Hudson St
2B
Hoboken, NJ 07030-5630
Phone
(201) 222-3400
NPI assigned
Mar 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

Name
Todd GivensNPI 1184866022
Title
Owner/ Clinic Director
Phone
(908) 370-2421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00669700 NJ Primary

Addresses

Primary practice location

70 Hudson St
2B
Hoboken, NJ 07030-5630

Mailing address

70 Hudson St
2B
Hoboken, NJ 07030-5630
Phone (201) 222-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230127000099 NJ Part B Supplier - Clinic/Group Practice 6204207335 Receives reassigned benefits from 6 practitioners
Practice locations: Hoboken, NJ

National Provider Directory

National Provider Directory

Locations

70 Hudson St
Ste 2B
Hoboken, NJ 07030
Phone (201) 222-3400

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1962943860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 HUDSON ST",
            "address_2": "2B",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305630",
            "telephone_number": "201-222-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HUDSON ST",
            "address_2": "2B",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305630",
            "telephone_number": "201-222-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON SPORT AND SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "GIVENS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER/ CLINIC DIRECTOR",
        "authorized_official_telephone_number": "908-370-2421"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00669700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.

Verify at the official NPI Registry.