GARDEN STATE SPINAL CARE (NPI# 1861907180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861907180 |
| Entity Type | Organization |
| Organization Name | GARDEN STATE SPINAL CARE |
| Practice Address |
4 Brighton Rd Ste 304 Clifton NJ 07012-1665 |
| Practice Telephone | 7325708491 |
| Practice Fax Number | 9738602434 |
| Mailing Fax Number | 9738602434 |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |
| Authorized Official Name | DR. JENNIFER CATHERINE DOUR (OWNER/CHIROPRACTOR) |
| Authorized Official Telephone | 7325708491 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 38MC00655600 | NJ | Chiropractic Providers |
| Street Address |
4 BRIGHTON RD STE 304 |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07012-1665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124352265 | Jennifer Dour | Chiropractor | 4 Brighton Rd Ste 304, Clifton, NJ 07012-1665 | 2009-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428307 | Sofia Konvitz | Behavioral Analyst | 743 Passaic Ave, Suite 109, Clifton, NJ 07012 | 2016-03-07 |
| 1881065118 | Renita Farkas I | Registered Nurse | 777 Bloomfield Avenue, Clifton, NJ 07012 | 2015-10-13 |
| 1619374402 | Lorraine Brenner | Dentist | 1053 Bloomfield Ave Ste 14, Clifton, NJ 07012 | 2014-11-23 |
| 1861897878 | Melissa Langewisch | General Acute Care Hospital | 3 Englewood Road, Clifton, NJ 07012 | 2014-11-03 |
| 1043637192 | Fadwa Sumrein | Internal Medicine | 2 Brighton Rd Ste 400, Clifton, NJ 07012 | 2014-03-26 |
| 1386067841 | Rita Mary Grazulis | Dentist | 91 Nugent Drive, Clifton, NJ 07012 | 2014-02-03 |
| 1366721573 | John P Castronova | Dentist | 79 Ave U, Brooklyn, NJ 07012 | 2011-08-05 |
| 1477849164 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 550 Allwood Rd, Clifton, NJ 07012 | 2011-06-22 |
| 1487805784 | Dron Gauchan | Internal Medicine | 74a Richfield Ct, Clifton, NJ 07012 | 2008-10-05 |
| 1497930283 | Coreen Christie | Counselor | 777 Bloomfiled Ave, Suite B, Clifton, NJ 07012 | 2007-12-31 |
| Find all providers in zip 07012 | ||||
| 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 |
|---|---|---|---|---|
| 1083120414 | Castellaro Chiropractic | Chiropractor | 385 Lakeview Avenue, Clifton, NJ 07011 | 2017-12-21 |
| 1437685302 | Rycahan Inc | Chiropractor | 230 N Avenue D, Clifton, TX 76634-1620 | 2017-05-11 |
| 1821410374 | Clifton Pain & Rehab Cneter | Chiropractor | 1131 Main Ave, Clifton, NJ 07011-2353 | 2014-01-16 |
| 1013267186 | Matthew Pozzebon | Chiropractor | 1117 Route 46 Ste 204, Clifton, NJ 07013-2450 | 2012-09-14 |
| 1376852798 | Passaic Familoy Chiropractic, PC | Chiropractor | 385 Lakeview Ave., Suite 4, Clifton, NJ 07011-4074 | 2010-10-04 |
| 1124352265 | Jennifer Dour | Chiropractor | 4 Brighton Rd Ste 304, Clifton, NJ 07012-1665 | 2009-09-22 |
| 1689817462 | Advanced Chiro Spine Center | Chiropractor | 1555 Main Ave, Clifton, NJ 07011-2109 | 2009-04-09 |
| 1699951962 | Dr Ralph Bonocore & Associates Chiropractic, PC | Chiropractor | 408 Clifton Ave, Clifton, NJ 07011-2674 | 2008-01-16 |
| 1356523864 | Christopher E Mazzo | Chiropractor | 1187 Main Ave Ste 3d, Clifton, NJ 07011-2252 | 2007-11-27 |
| 1285815431 | Brett Wayne Gewant | Chiropractor | 229 Dayton Ave, Clifton, NJ 07011-1551 | 2007-11-15 |
| Find all providers in CLIFTON | ||||
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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.