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SPINE SPECIALIST
NPI 1407165111
Chiropractor - Neurology in Clifton, NJ

Active since September 29, 2010
1187 MAIN AVE STE 1D, CLIFTON, NJ 07011(973) 742-0927(888) 373-2114 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Spine Specialist NPPES

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

SPINE SPECIALIST (NPI 1407165111) is a healthcare organization registered as a neurology in Clifton, New Jersey and active in the NPI registry since September 2010. The organization lists Marco Antonio Lopez, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1407165111
Entity TypeOrganization
Primary Taxonomy111NN0400X
Legal Business NameSPINE SPECIALIST
Location Address1187 MAIN AVE STE 1DClifton, NJ 07011-2252
Mailing AddressPo Box 7036West Orange, NJ 07052-7036 · (973) 742-0927 · Fax (888) 373-2114
Phone(973) 742-0927
Fax(888) 373-2114
Organization SubpartNo
Authorized OfficialMarco Antonio LopezDoctor/owner · (973) 742-0927
Enumeration DateSeptember 29, 2010
Last NPPES UpdateMay 4, 2020
NPPES CertifiedMay 4, 2020
✔ NPI 1407165111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · NeurologyChiropractic Providers
Taxonomy Code111NN0400X
Licenses✔ Licensed in NJ · 38MC00673900✔ Licensed in NY · X0116921
Definition
Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions.
1187 MAIN AVE STE 1D, Clifton, NJ 07011
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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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spine Specialist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Spine Specialist, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marco Lopez, D.C.
Chiropractic
NPI 1073838991
1187 MAIN AVE STE 1D
Clifton, NJ 07011
(973) 742-0927
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spine Specialist's NPI number?

The NPI number for Spine Specialist is 1407165111. It was assigned to this organization in the NPPES registry on September 29, 2010.

Where is Spine Specialist located?

Spine Specialist is located at 1187 Main Ave Ste 1D, Clifton, NJ 07011. The listed phone number is (973) 742-0927.

What is Spine Specialist's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Neurology, with taxonomy code 111NN0400X.

Is Spine Specialist enrolled in Medicare?

Yes. Spine Specialist is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spine Specialist?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Spine Specialist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Spine Specialist was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.