Depot Park Chiropractic Center P a

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC03912 Issued in NJ

Legal business name

DEPOT PARK CHIROPRACTIC CENTER P A

Practice address

311 Park Ave
Plainfield, NJ 07060-4229

Phone

(908) 753-5454

Fax

(908) 753-6370

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ivan B Kosin, DC

Title

President

Phone

(908) 753-5454

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1972662872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070604229",
            "telephone_number": "908-753-5454",
            "fax_number": "908-753-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070604229",
            "telephone_number": "908-753-5454",
            "fax_number": "908-753-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPOT PARK CHIROPRACTIC CENTER P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "KOSIN",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-753-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC03912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laloni Decosey, LPN. IBCLC
• Tatiana S. Delaurentiis, D.P.M.
• Yede B Dennis, DDS, MPH
• Dental Health Associates PA
• Sinjed Depina-Veiga
• Diane Desplantes, LCSW
• Nadege Dhaiti
• Fiorina Di Lauri, LSW
• Patricia Dilbert, FNP
• Christina Marie Diliberto-Buls, MSPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.