DISTANO CHIROPRACTIC CARE LLC


Address: 655 Kearny Avenue, Suite #102, Kearny, NJ 07032-2942
Phone: 2019910050

DISTANO CHIROPRACTIC CARE LLC (NPI# 1417161985) 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) 1417161985
Entity Type Organization
Organization Name DISTANO CHIROPRACTIC CARE LLC
Practice Address 655 Kearny Avenue, Suite #102
Kearny
NJ 07032-2942
Practice Telephone 2019910050
Practice Fax Number 2019912383
Enumeration Date 2007-05-10
Last Update Date 2007-08-22
Authorized Official Name DR. ANTHONY DISTANO (OWNER)
Authorized Official Telephone 2019910050
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 38MC00655500 NJ Chiropractic Providers

Office Location

Street Address 655 KEARNY AVENUE, SUITE #102
City KEARNY
State NJ
Zip Code 07032-2942

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NPI Name Taxonomy Address Enumeration
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1366985178 Minerva Refe Brizuela Nurse Practitioner 30-35 So. Hackensack Avenue, Hudson County Correctional, Kearny, NJ 07032 2016-11-28
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1467750836 Anita Hillary Pharmacist 248 Kearny Avenue, Kearny, NJ 07032 2011-03-08
1770818486 Twyla N Rentas Nurse Practitioner 30 Hackensack Ave., Kearny, NJ 07032 2009-10-14
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Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366088437 Kiriakos Panterlis Chiropractor 434 Kearny Ave # 129, Kearny, NJ 07032-2604 2019-11-22
1053784785 North Jersey Chiropractic LLC Chiropractor 418 Kearny Ave, Kearny, NJ 07032-2604 2015-11-03
1396149241 Louis Perrone Chiropractor 841 Kearny Ave Apt 1, Kearny, NJ 07032-3249 2014-10-20
1265574628 Anthony Carmen Distano Chiropractor 655 Kearny Ave, Kearny, NJ 07032-2942 2007-02-13
1528046471 Joseph Maggio Iv Chiropractor 267 Kearny Ave, Kearny, NJ 07032-2507 2006-01-02
1356341903 James J Sanfilippo Chiropractor 699 Kearny Ave, Kearny, NJ 07032-3003 2005-07-26
1578078218 Wellcare Pain and Rehab, LLC Chiropractor 18 Kearny Ave, Kearny, NJ 07032-2372 2017-12-04
1194060392 Divine Chiropractic Center, LLC Chiropractor 221 Kearny Ave, Kearny, NJ 07032-2437 2012-11-29
1508141169 West Hudson Chiropractic Center, PC Chiropractor 267 Kearny Ave, Kearny, NJ 07032-2507 2011-10-14
1164742516 Kathleen Calixto Chiropractor 221 Kearny Ave, Kearny, NJ 07032-2437 2010-06-08
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Competitor

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City KEARNY
Zip Code 07032

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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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