Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

New York Injury Chiropractic Rehab PC

Organization Rehabilitation Chiropractor · NPI 1063085181

New York Injury Chiropractic Rehab PC provides Rehabilitation Chiropractor services in Montclair, New Jersey. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

125 Glenridge Ave
Montclair, NJ 07042-6800
Phone: (201) 536-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Chiropractor (primary) Taxonomy 111NR0400X

Record details

NPI number1063085181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Avianne Waithe — Owner · (201) 536-0100
NPI enumeratedJuly 19, 2021
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021
Mailing addressPo Box 174, Montclair, NJ 07042-0174