Individual provider Active NPI

Tim Huang

  • Chiropractor
  • Forked River, NJ
National Provider Identifier
1013342393
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00711100 Issued in NJ
Practice address
15 Manchester Ave Ste 8
Forked River, NJ 08731-1360
Phone
(609) 242-6433
NPI assigned
Sep 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00711100 NJ Primary

Addresses

Primary practice location

15 Manchester Ave Ste 8
Forked River, NJ 08731-1360

Mailing address

15 Manchester Ave Ste 8
Forked River, NJ 08731-1360
Phone (609) 243-6433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140516000668 NJ Practitioner - Chiropractic 2567685720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Manchester Ave
Suite 8
Forked River, NJ 08731-1360
Phone (609) 287-7659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00711100NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Chiropractic and Physical Therapy CurrentSince Mar 21, 2014 Accepting new patients
Battaglia Chiropractic Inc. Chiropractor PastSince Mar 21, 2014 Accepting new patients

Locations

15 Manchester Ave
Ste 8
Forked River, NJ 08731
Phone (609) 242-6433

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1013342393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MANCHESTER AVE STE 8",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311360",
            "telephone_number": "609-243-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MANCHESTER AVE STE 8",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311360",
            "telephone_number": "609-242-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "TIM",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-05",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00711100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.