Organization Active NPI

South Amboy Chiropractic Center LLC

  • Chiropractor
  • South Amboy, NJ
National Provider Identifier
1003905050
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC005814 Issued in NJ
Legal business name
SOUTH AMBOY CHIROPRACTIC CENTER LLC
Practice address
137 S Broadway
South Amboy, NJ 08879-3412
Phone
(732) 727-5502
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Dr. John Frank MarulloNPI 1942254073
Title
Owner
Phone
(732) 727-5502

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 MC005814 NJ Primary

Addresses

Primary practice location

137 S Broadway
South Amboy, NJ 08879-3412

Mailing address

137 S Broadway
South Amboy, NJ 08879-3412
Phone (732) 727-5502

National Provider Directory

National Provider Directory

Locations

2909 Washington Rd
Bldg 175
Parlin, NJ 08859
Phone (732) 727-5502

137 S Broadway
South Amboy, NJ 08879
Phone (732) 727-5502

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": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1003905050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 S BROADWAY",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088793412",
            "telephone_number": "732-727-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 S BROADWAY",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088793412",
            "telephone_number": "732-727-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH AMBOY CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "MARULLO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-727-5502",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC005814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.