DAVID R MOORE DC PC (NPI# 1912076126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912076126 |
| Entity Type | Organization |
| Organization Name | DAVID R MOORE DC PC |
| Other Organization Name | ON TRACE REHABILITATION |
| Practice Address |
850 Clifton Ave Clifton NJ 07013 |
| Practice Telephone | 9732537005 |
| Mailing Telephone | 9732537005 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID R MOORE (OWNER) |
| Authorized Official Telephone | 9732537005 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111N00000X | Chiropractor | 38MC00543200 | NJ | Chiropractic Providers |
| X | 225100000X | Physical Therapist | 40QA01158600 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| On Trace Rehabilitation | Doing Business As Name - Organization |
| Street Address |
850 CLIFTON AVE |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445958 | Tyler J Carlock | Chiropractor | 850 Clifton Ave, Clifton, NJ 07013-1716 | 2017-02-10 |
| 1639326945 | David R. Moore, Dc PC | Chiropractor | 850 Clifton Ave, Clifton, NJ 07013-1716 | 2008-08-19 |
| 1174645162 | Meryl Schechner Foster | Chiropractor | 850 Clifton Ave, Clifton, NJ 07013-1716 | 2007-04-03 |
| 1346300803 | David R Moore | Chiropractor | 850 Clifton Ave, Clifton, NJ 07013-1716 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028763 | Chedva Grossman | Behavioral Analyst | 1115 Clifton Avenue, Suite 202, Clifton, NJ 07013 | 2020-03-23 |
| 1518519578 | Marybel Hernandez | Social Worker | 730 Board St. Second Floor, Second Floor, Clifton, NJ 07013 | 2019-07-10 |
| 1427516152 | Maya Kron Wellness | Acupuncturist | 1425 Broad Street Suite 4, Clifton, NJ 07013 | 2019-03-12 |
| 1598251076 | Eileen Madden | Counselor | 1135 Clifton Avenue, Suite 103, Clifton, NJ 07013 | 2018-07-08 |
| 1215444591 | Wilber Espinosa | Nurse Practitioner | 1700 Nj-3, Clifton, NJ 07013 | 2018-01-08 |
| 1093222424 | Clifton Mri | Radiology | 750 Clifton Ave, Clifton, NJ 07013 | 2018-01-08 |
| 1912425745 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 115, Clifton, NJ 07013 | 2017-08-31 |
| 1255875183 | Elite Gynecology, LLC | Obstetrics & Gynecology | 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 | 2016-12-12 |
| 1659815710 | Patrick Dispoto | Registered Nurse | 1005 Clifton Ave # 2, Clifton, NJ 07013 | 2016-12-08 |
| 1033568829 | Community Options Enterprises, Inc. | Day Training, Developmentally Disabled Services | 24-36 Fornelius Avenue, Clifton, NJ 07013 | 2016-06-13 |
| Find all providers in zip 07013 | ||||
| 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.