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ADAVANCED SPINE REHABILITATION LLC
NPI 1164829826
Chiropractor in Clark, NJ

Active since November 24, 2014
1171 OLD RARITAN RD, CLARK, NJ 07066(908) 558-9500(908) 344-5557 Get Directions Write a Review

NPPES record last updated: November 24, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Adavanced Spine Rehabilitation Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADAVANCED SPINE REHABILITATION LLC (NPI 1164829826) is a healthcare organization registered as a chiropractor in Clark, New Jersey and active in the NPI registry since November 2014. The organization lists Michael John Latza, Directgor, as its authorized official.

NPPES Registry Identity

NPI1164829826
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameADAVANCED SPINE REHABILITATION LLC
Location Address1171 OLD RARITAN RDClark, NJ 07066
Mailing Address1171 Old Raritan RdClark, NJ 07066 · (908) 558-9500 · Fax (908) 344-5557
Phone(908) 558-9500
Fax(908) 344-5557
Organization SubpartNo
Authorized OfficialMichael John LatzaDirectgor · (908) 558-9500
Enumeration DateNovember 24, 2014
✔ NPI 1164829826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NJ · 38MC00398100
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.

1171 OLD RARITAN RD, Clark, NJ 07066
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Other Identifiers 2

Other10003949256NJ · Npi
Other120505108NJ · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

What is ADAVANCED SPINE REHABILITATION LLC's NPI number?

The NPI number assigned to this healthcare provider is 1164829826, enumerated as an "organization" on November 24, 2014.

Where is the provider located?

The provider is located at 1171 OLD RARITAN RD CLARK, NJ 07066 and the phone number is (908) 558-9500.

What is the provider's specialty?

Chiropractor with taxonomy code 111N00000X.

What insurance does ADAVANCED SPINE REHABILITATION LLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.