CAPITOL CHIROPRACTIC AND REHABILITATION


Address: 15 Howe Ave., 2nd Floor, Passaic, NJ 07055
Phone: 9736140048

CAPITOL CHIROPRACTIC AND REHABILITATION (NPI# 1093206880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093206880
Entity Type Organization
Organization Name CAPITOL CHIROPRACTIC AND REHABILITATION
Practice Address 15 Howe Ave., 2nd Floor
Passaic
NJ 07055
Mailing Address Po Box 8059
Jersey City
NJ 07308-8059
Practice Telephone 9736140048
Practice Fax Number 9737671330
Mailing Telephone 9736140048
Mailing Fax Number 9737671330
Enumeration Date 2018-05-29
Last Update Date 2020-05-21
Authorized Official Name MICHAEL MANNO (OWNER)
Authorized Official Telephone 9736140048
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 38MC00521900 Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ SOCIAL SECURITY $$$$$$$$$ 01

Office Location

Street Address 15 HOWE AVE., 2ND FLOOR
City PASSAIC
State NJ
Zip Code 07055

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1073779658 Center for Adult Medicine and Preventive Care, PC Clinic/Center 916-922 Main Ave, Suite 1a, Passaic, NJ 07055-8544 2008-08-02
1487136594 Elensa Family Healthcare LLC. Clinic/Center 147 Hamilton Ave, Passaic, NJ 07055-5240 2018-09-05
1336386754 Mls Medical Group, LLC Clinic/Center 293 Passaic St, Passaic, NJ 07055-5803 2009-01-08

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Competitor

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City PASSAIC
Zip Code 07055

Improve Information

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Dataset Information

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.

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