Wayne Rebarber D.C.P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00235200 Issued in NJ

Legal business name

WAYNE REBARBER D.C.P.A.

Practice address

307 Raritan Ave
Highland Park, NJ 08904-2701

Phone

(732) 246-4242

Fax

(732) 249-2134

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Amanda B Collins

Title

Billing Department

Phone

(732) 246-4242

Specialties & licenses 1

Addresses

Other names 1

• Rebarber Family Chiropractic Former legal business name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Wayne Rebarber, DC

  • Chiropractor
  • Highland Park, NJ
  • NPI 1114061710
  Medicare reassignment NPD

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1003074766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 RARITAN AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042701",
            "telephone_number": "732-246-4242",
            "fax_number": "732-249-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 RARITAN AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042701",
            "telephone_number": "732-246-4242",
            "fax_number": "732-249-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE REBARBER D.C.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BILLING DEPARTMENT",
        "authorized_official_telephone_number": "732-246-4242",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00235200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebarber Family Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Chiropractor in Highland Park, NJ
• Providers in Highland Park, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.