Organization Active NPI

Spine and Rehabilitation Center of Belleville

  • Chiropractor
  • Belleville, NJ
National Provider Identifier
1982158267
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPINE AND REHABILITATION CENTER OF BELLEVILLE
Practice address
383 Washington Ave
Belleville, NJ 07109-3252
Phone
(973) 302-7936
NPI assigned
Aug 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Dr. Michael Latza, DC
Title
Manager
Phone
(908) 322-8300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

383 Washington Ave
Belleville, NJ 07109-3252

Mailing address

383 Washington Ave
Belleville, NJ 07109-3252
Phone (973) 302-7936

National Provider Directory

National Provider Directory

Locations

383 Washington Ave
Belleville, NJ 07109
Phone (201) 966-8752

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1982158267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 WASHINGTON AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093252",
            "telephone_number": "973-302-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 WASHINGTON AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093252",
            "telephone_number": "973-302-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND REHABILITATION CENTER OF BELLEVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "LATZA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "908-322-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.