LIFE CLINIC OF NJ DC PA (NPI# 1720575178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720575178 |
| Entity Type | Organization |
| Organization Name | LIFE CLINIC OF NJ DC PA |
| Practice Address |
7 Forrestal Road S Plainsborough NJ 08536 |
| Mailing Address |
Po Box 549 Chanhassen MN 55317-0549 |
| Practice Telephone | 6128686894 |
| Mailing Telephone | 6128686894 |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |
| Authorized Official Name | DR. REZA POUR ALIZADEH (OWNER/DC) |
| Authorized Official Telephone | 6128686894 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 38MC00735800 | NJ | Chiropractic Providers |
| Street Address |
7 FORRESTAL ROAD S |
| City | PLAINSBOROUGH |
| State | NJ |
| Zip Code | 08536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518524768 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13101 Rue Terrace, Plainsboro, NJ 08536 | 2019-05-23 |
| 1629635867 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13104 Rue Terrace, Plainsboro, NJ 08536 | 2019-05-23 |
| 1124527437 | Lee-yen Shu | Physical Therapist | 408 Plainsboro Road, Plainsboro, NJ 08536 | 2018-02-02 |
| 1295261543 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15-15 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1972039212 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24-11 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1669908901 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28-01 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1831625177 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 43-01 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1659807998 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53-01 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1205218971 | Bancroft Neurohealth | Clinic/Center | 666 Plainsboro Road Suite 2000c, Plainsboro, NJ 08536 | 2015-06-18 |
| 1699170787 | Mary Theresa Palovcak | Nurse Practitioner | 4 Schalks Crossing Road, Plainsboro, NJ 08536 | 2014-10-31 |
| Find all providers in zip 08536 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | PLAINSBOROUGH |
| Zip Code | 08536 |
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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.