Provider Demographics
NPI:1336489350
Name:WEST ESSEX SPINAL CARE ASSOCIATES
Entity Type:Organization
Organization Name:WEST ESSEX SPINAL CARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:TERESA
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:973-808-6800
Mailing Address - Street 1:1140 BLOOMFIELD AVE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-7130
Mailing Address - Country:US
Mailing Address - Phone:973-808-6800
Mailing Address - Fax:973-808-7100
Practice Address - Street 1:1140 BLOOMFIELD AVE
Practice Address - Street 2:SUITE 230
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-7130
Practice Address - Country:US
Practice Address - Phone:973-808-6800
Practice Address - Fax:973-808-7100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-28
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00421700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
P2789325OtherOXFORD
NJU42904Medicare UPIN