SPINE SPECIALIST (NPI# 1407165111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407165111 |
| Entity Type | Organization |
| Organization Name | SPINE SPECIALIST |
| Practice Address |
1187 Main Ave Ste 1d Clifton NJ 07011-2252 |
| Mailing Address |
Po Box 7036 West Orange NJ 07052-7036 |
| Practice Telephone | 9737420927 |
| Practice Fax Number | 8883732114 |
| Mailing Telephone | 9737420927 |
| Mailing Fax Number | 8883732114 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2020-05-04 |
| Authorized Official Name | MARCO ANTONIO LOPEZ (DOCTOR/OWNER) |
| Authorized Official Telephone | 9737420927 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NN0400X |
Chiropractor Specialization: Neurology |
X0116921 | NY | Chiropractic Providers |
| Y | 111NN0400X |
Chiropractor Specialization: Neurology |
38MC00673900 | NJ | Chiropractic Providers |
| Street Address |
1187 MAIN AVE STE 1D |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07011-2252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073838991 | Marco Antonio Lopez | Chiropractor | 1187 Main Ave Ste 1d, Clifton, NJ 07011-2252 | 2010-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285101980 | Trucare Adult Medical Day Care | Clinic/Center | 111 Paulison Avenue, Clifton, NJ 07011 | 2018-10-31 |
| 1801389903 | Sonja Abbassi Md | Internal Medicine | 1618 Main Avenue, 1618 Main Avenue, Clifton, NJ 07011 | 2018-06-13 |
| 1346747003 | Laquanda Kiera Turner | Social Worker | 139 Lake Avenue, Clifton, NJ 07011 | 2018-04-10 |
| 1083120414 | Castellaro Chiropractic | Chiropractor | 385 Lakeview Avenue, Clifton, NJ 07011 | 2017-12-21 |
| 1982124707 | Rana Garris | Student in an Organized Health Care Education/Training Program | 327 Luddington Avenue, 1st Floor, Clifton, NJ 07011 | 2017-06-22 |
| 1528501335 | Mental Health Association In Passaic County | Clinic/Center | 404 Clifton Ave., Clifton, NJ 07011 | 2016-11-28 |
| 1346694114 | Desjet LLC | Emergency Medicine | 35 Ackerman Avenue, Clifton, NJ 07011 | 2016-04-19 |
| 1437524493 | Pooja Jainish Vashi | Physical Therapist | 246 Clifton Ave Ste 5, Clifton, NJ 07011 | 2015-12-02 |
| 1093122830 | Truecare | Ambulance | 135 Demott Ave, 135, Clifton, NJ 07011 | 2014-07-14 |
| 1952641391 | Y.a.f.a. Group LLC | Ambulance | 11 Richmond St, Clifton, NJ 07011 | 2013-02-21 |
| Find all providers in zip 07011 | ||||
| Taxonomy Code | 111NN0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Neurology |
| Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions. |
| Notes: Source: American Chiropractic Neurology Board, 2008 & American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073838991 | Marco Antonio Lopez | Chiropractor | 1187 Main Ave Ste 1d, Clifton, NJ 07011-2252 | 2010-04-03 |
| 1467736207 | Advance Ankle, Foot and Pain | Chiropractor | 1084 Main Ave, Clifton, NJ 07011-2330 | 2011-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568842342 | David E Koentop | Chiropractor | 2399 Route 34 Bldg A, Suite 5, Manasquan, NJ 08736-1500 | 2015-06-05 |
| 1407243900 | Guy Guerriero | Chiropractor | 456 N Monroe St, Ridgewood, NJ 07450-1409 | 2015-04-22 |
| 1124376181 | Bergen Total Health LLC | Chiropractor | 135 County Rd Ste 2a, Cresskill, NJ 07626 | 2012-08-24 |
| 1730347493 | Sang Hun Han | Chiropractor | 279 Browertown Rd Ste 100, Woodland Park, NJ 07424-2663 | 2008-05-29 |
| 1821297250 | Neuro-edx. P.a. | Chiropractor | 4 Fellsway, Ocean, NJ 07712-3207 | 2007-07-16 |
| 1497967525 | Main Chiropractic Center, LLC | Chiropractor | 201 E. Main St., Maple Shade, NJ 08052 | 2007-05-03 |
| 1912021205 | Bruce M Jacobson | Chiropractor | 1547 Stuyvesant Ave # A, Union, NJ 07083-5341 | 2007-03-19 |
| 1619014222 | Robert J. Failla | Chiropractor | 245 Avenel St, Avenel, NJ 07001-1433 | 2007-01-31 |
| 1235288820 | Peter C Bufano | Chiropractor | 144 State Hwy 34, Matawan, NJ 07747 | 2007-01-10 |
| 1821151994 | Julie Page | Chiropractor | 68 1st Ave, Atlantic Highlands, NJ 07716-1286 | 2006-12-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.