THE RANDOLPH PAIN RELIEF CENTER PC (NPI# 1639492507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639492507 |
| Entity Type | Organization |
| Organization Name | THE RANDOLPH PAIN RELIEF CENTER PC |
| Practice Address |
588 Route 10 W Randolph NJ 07869-2056 |
| Practice Telephone | 9733666615 |
| Mailing Telephone | 9733666615 |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |
| Authorized Official Name | DAVID J SIMON (MANAGING MEMBER) |
| Authorized Official Telephone | 9733666615 |
| Authorized Official Credential | DC |
| 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 |
588 ROUTE 10 W |
| City | RANDOLPH |
| State | NJ |
| Zip Code | 07869-2056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398149 | Jaclyn Philbin | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869 | 2020-05-19 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1518516061 | New Jersey Center for Cognitive and Dialectical Behavior Therapy | Clinic/Center | 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 2019-09-07 |
| 1396306031 | Marilyn (lynn) G Teale | Specialist/Technologist | 1248 Sussex Tpk, Unit B11, Randolph, NJ 07869 | 2019-06-24 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| Find all providers in zip 07869 | ||||
| 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 |
|---|---|---|---|---|
| 1700282662 | Randolph Chiropractic Associates LLC | Chiropractor | 26 N Main St Ste 4, Randolph, VT 05060-1239 | 2014-11-05 |
| 1942587811 | Reynolds Pain & Wellness Center LLC | Chiropractor | 1572 Sussex Tpke, Randolph, NJ 07869-1822 | 2011-11-07 |
| 1043456080 | Marc David Trotter | Chiropractor | 588 State Route 10 West, Randolph, NJ 07869-2056 | 2008-12-22 |
| 1497928519 | David J Simon | Chiropractor | 588 Rt 10 West, Randolph, NJ 07869 | 2008-04-09 |
| 1124248497 | .gerri Ryan | Chiropractor | 961 Rt. 10 East, Randolph, NJ 07869 | 2007-04-27 |
| 1003959529 | James Leslie Jones | Chiropractor | 175 Stark St, Randolph, WI 53956-1243 | 2007-02-14 |
| 1245371442 | Marcie Diane Arlinsky | Chiropractor | 540 Route 10 W, Randolph, NJ 07869-2026 | 2007-02-09 |
| 1174677512 | Patrick Timothy Ryan | Chiropractor | 961 Route 10 East, Box 6, Randolph, NJ 07869 | 2007-01-23 |
| 1699824052 | Capriglione Chiropractic Pa | Chiropractor | 91 Mountainside Drive, Randolph, NJ 07869 | 2007-01-08 |
| 1770641888 | Dean Curtis Dc Pa | Chiropractor | 588 Route 10, Randolph, NJ 07869 | 2006-12-04 |
| Find all providers in RANDOLPH | ||||
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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.