Individual provider Active NPI

Joseph Richard Nies, DC

  • Chiropractor
  • Newfoundland, NJ
National Provider Identifier
1003907429
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC002348 Issued in NJ
Practice address
118 Gould Rd
Newfoundland, NJ 07435-1704
Phone
(973) 697-6399
Fax
(973) 697-6399
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC002348 NJ Primary

Addresses

Primary practice location

118 Gould Rd
Newfoundland, NJ 07435-1704

Mailing address

118 Gould Rd
Newfoundland, NJ 07435-1704
Phone (973) 697-6399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC002348NJMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003907429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 GOULD RD",
            "city": "NEWFOUNDLAND",
            "state": "NJ",
            "postal_code": "074351704",
            "telephone_number": "973-697-6399",
            "fax_number": "973-697-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 GOULD RD",
            "city": "NEWFOUNDLAND",
            "state": "NJ",
            "postal_code": "074351704",
            "telephone_number": "973-697-6399",
            "fax_number": "973-697-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIES",
        "first_name": "JOSEPH",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC002348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newfoundland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.