SPINE AND HEALTH CENTER OF CLOSTER PC (NPI# 1497291728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497291728 |
| Entity Type | Organization |
| Organization Name | SPINE AND HEALTH CENTER OF CLOSTER PC |
| Practice Address |
31 Vervalen St Closter NJ 07624-2699 |
| Mailing Address |
33 Vervalen St Closter NJ 07624-2699 |
| Practice Telephone | 2017466577 |
| Practice Fax Number | 2017466576 |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2020-05-04 |
| Authorized Official Name | JOCELYNN ROMAN (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2017466577 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
31 VERVALEN ST |
| City | CLOSTER |
| State | NJ |
| Zip Code | 07624-2699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662394 | Trella Blythe Dolgin | Physical Therapist | 31 Vervalen St, Closter, NJ 07624 | 2020-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336699321 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 29 Vervalen St, Closter, NJ 07624 | 2016-10-13 |
| 1114159175 | Family Counseling Center of Closter Nj Inc. | Community/Behavioral Health | Harrington Avenue and West Street, Closter, NJ 07624 | 2009-08-10 |
| 1366654360 | Byungtae Henry Kim | Dentist | 570 Piermont Rd., Closter, NJ 07624 | 2007-05-04 |
| 1780748566 | Dennis Chintala | Chiropractor | 273 Closter Dock Rd, Closter, NJ 07624 | 2006-12-19 |
| 1578677092 | Closter Dental PC | Dentist | 570 Piermont Rd, #c1, Closter, NJ 07624 | 2006-08-19 |
| 1154330876 | Niki Shabnam Mossaded | Dentist | 539 Durie Ave, Closter, NJ 07624 | 2006-08-05 |
| 1841215407 | Great Atlantic & Pacific Tea Company Inc | Durable Medical Equipment & Medical Supplies | 400 Demarest Ave, Closter, NJ 07624 | 2006-07-13 |
| 1003204132 | Jennifer Anne Surak-zammitti | Social Worker | 294 Harrington Ave, Closter, NJ 07624 | 2014-12-23 |
| 1629246178 | Annette Kherlopian | Pharmacist | 400 Demarest Ave, Closter, NJ 07624 | 2008-02-19 |
| 1497865117 | Shyong Dental Group LLC | Dentist | 235 Closter Dock Rd, Closter, NJ 07624 | 2006-08-30 |
| Find all providers in zip 07624 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780748566 | Dennis Chintala | Chiropractor | 273 Closter Dock Rd, Closter, NJ 07624 | 2006-12-19 |
| 1568005049 | Jeremy Gongola | Chiropractor | 31 Ver Valen St, Closter, NJ 07624-2699 | 2019-10-28 |
| 1457521981 | Winstone Chiropractic Pa | Chiropractor | 500 Piermont Rd, Suite 304, Closter, NJ 07624-2845 | 2008-03-12 |
| 1356418891 | Jason Charles Roer | Chiropractor | 500 Piermont Rd, Suite 304, Closter, NJ 07624-2845 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407448 | Michael Saccente | Chiropractor | 700 Campus Dr Ste C, Morganville, NJ 07751-1259 | 2020-11-02 |
| 1598364127 | Edison Chiropractic, LLC | Chiropractor | 1581 Route 27 Unit 4, Edison, NJ 08817-3477 | 2020-10-24 |
| 1316546591 | Salvador Gonzalez Ruiz | Chiropractor | 758 Bloomfield Ave, West Caldwell, NJ 07006-6710 | 2020-10-20 |
| 1427655802 | Leandra L Quinones Santiago | Chiropractor | 691 Mill Creek Rd Ste 5, Manahawkin, NJ 08050-3531 | 2020-10-08 |
| 1306443452 | Alec Michael Shell | Chiropractor | 116 Miln St, Cranford, NJ 07016-2141 | 2020-10-01 |
| 1619583069 | Jordan C Jackson | Chiropractor | 280 Us Highway 9 Ste E, Morganville, NJ 07751-1572 | 2020-09-21 |
| 1932715505 | Elite Spine and Wellness, LLC | Chiropractor | 2864 Rte 27 Ste C, North Brunswick, NJ 08902-5010 | 2020-09-19 |
| 1184239410 | Keith Alan Eisenberger | Chiropractor | 61 Hudson St, Hackensack, NJ 07601-6943 | 2020-09-14 |
| 1932714805 | Edward Vinnikov | Chiropractor | 6 Crosswood Way, Warren, NJ 07059-6785 | 2020-09-09 |
| 1548874605 | Komal Gulab Khattak | Chiropractor | 3b, 186 Princeton Hightstown Rd, #104, West Windsor Township, NJ 08550 | 2020-09-04 |
| 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.