HIGH STREET REHAB, LLC (NPI# 1053593616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053593616 |
| Entity Type | Organization |
| Organization Name | HIGH STREET REHAB, LLC |
| Practice Address |
25 High St Nutley NJ 07110-1131 |
| Practice Telephone | 9732351515 |
| Practice Fax Number | 9732350452 |
| Mailing Telephone | 9732351515 |
| Mailing Fax Number | 9732350452 |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | DR. STEVEN CLARKE (CHIROPRACTOR/OWNER) |
| Authorized Official Telephone | 9732351515 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | MC02501 | NJ | Chiropractic Providers |
| Street Address |
25 HIGH ST |
| City | NUTLEY |
| State | NJ |
| Zip Code | 07110-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396728069 | Robert W. Ciocco | Podiatrist | 25 High St, Nutley, NJ 07110-1131 | 2005-11-26 |
| 1629683644 | Tyler Clarke | Clinic/Center | 25 High St, Nutley, NJ 07110-1131 | 2020-09-15 |
| 1326552845 | Nutley Chiropractic, LLC | Chiropractor | 25 High St, Nutley, NJ 07110-1131 | 2017-11-20 |
| 1417116179 | Danielle V Thomson | Physical Therapist | 25 High St, Nutley, NJ 07110-1131 | 2008-06-06 |
| 1477674836 | Steven G Clarke | Chiropractor | 25 High St, Nutley, NJ 07110-1131 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304984 | Nutley Vision LLC | Optometrist | 214 N Franklin Avenue, Nutley, NJ 07110 | 2019-09-06 |
| 1548762073 | Michal Milow Divney | Social Worker | 340 Kingsland St Bldg 123, Nutley, NJ 07110 | 2018-02-28 |
| 1144743162 | Erin Doyle Theodorou | Counselor | 29 Faber Pl, Nutley, NJ 07110 | 2017-07-21 |
| 1134642671 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 150 Kingsland St, Nutley, NJ 07110 | 2017-07-17 |
| 1851811764 | Janet Joke Bamgbade | Social Worker | 21 River Road, Apt. J, Nutley, NJ 07110 | 2017-06-21 |
| 1588190656 | Nutley Vision | Eyewear Supplier (Equipment, not the service) | 214 Franklin Ave., Nutley, NJ 07110 | 2017-05-10 |
| 1043662596 | Angela Furnari-romano | Social Worker | 596 Franklin Ave, Nutley, NJ 07110 | 2016-07-08 |
| 1659720381 | Nutley Adult Day Care Inc | Clinic/Center | 357-361 Harrison St, 1st Floor, Nutley, NJ 07110 | 2016-06-03 |
| 1881055937 | Roman Rubin | Community/Behavioral Health | 263 Hillside Address, 5, Nutley, NJ 07110 | 2016-03-17 |
| 1275937922 | Victoria L Beckerman | Social Worker | 405 Centre St, Nutley, NJ 07110 | 2014-10-09 |
| Find all providers in zip 07110 | ||||
| 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 |
|---|---|---|---|---|
| 1679806715 | Maro R. Bchakjian | Chiropractor | 4 Bayard St, Nutley, NJ 07110-3304 | 2009-09-08 |
| 1518119213 | Dong-nam Ahn | Chiropractor | 44 Highfield Ln, Nutley, NJ 07110-1930 | 2008-10-14 |
| 1750582425 | Christian B Helm | Chiropractor | 142 Mount Vernon St, Nutley, NJ 07110-2568 | 2007-05-30 |
| 1023227550 | John Frank Tomburo II | Chiropractor | 17 Weston St, Nutley, NJ 07110-2845 | 2007-05-22 |
| 1538287008 | Allan Harold Verter | Chiropractor | 684 Franklin Avenue, Nutley, NJ 07110-1210 | 2007-03-26 |
| 1376694810 | Donna A Pontoriero | Chiropractor | 299 Franklin Ave, Nutley, NJ 07110-2735 | 2007-01-12 |
| 1184790636 | Lorenzo E. Marchese Jr. | Chiropractor | 3 Howe Ave, Nutley, NJ 07110-1307 | 2006-11-27 |
| 1205913100 | Samuel Sbarra | Chiropractor | 260 Park Ave, Nutley, NJ 07110-2869 | 2006-11-01 |
| 1609976281 | Dominic S Cerreto | Chiropractor | 237 Centre St, Nutley, NJ 07110-2701 | 2006-09-24 |
| 1851409940 | Joseph P Scarpelli | Chiropractor | 80 Bloomfield Ave, Nutley, NJ 07110-3141 | 2006-08-28 |
| Find all providers in NUTLEY | ||||
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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.