Organization Active NPI

Chiropractic Health & Rehabilitation Center, LLC

  • Chiropractor
  • South Plainfield, NJ
National Provider Identifier
1003072802
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00655300 Issued in NJ
Legal business name
CHIROPRACTIC HEALTH & REHABILITATION CENTER, LLC
Practice address
904 Oak Tree Ave
Suite D
South Plainfield, NJ 07080-5126
Phone
(201) 452-8442
NPI assigned
Jul 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mital Patel, D.C.NPI 1851415723
Title
President
Phone
(201) 452-8442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00655300 NJ Primary

Addresses

Primary practice location

904 Oak Tree Ave
Suite D
South Plainfield, NJ 07080-5126

Mailing address

177 Winding Rd
Iselin, NJ 08830-2136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080916000071 NJ Part B Supplier - Clinic/Group Practice 3577630698 Receives reassigned benefits from 1 practitioner
Practice locations: South Plainfield, NJ

National Provider Directory

National Provider Directory

Locations

904 Oak Tree Ave
Ste E
South Plainfield, NJ 07080
Phone (908) 668-7791

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1003072802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 WINDING RD",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 OAK TREE AVE",
            "address_2": "SUITE D",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805126",
            "telephone_number": "201-452-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MITAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-452-8442",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00655300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.