Individual provider Active NPI

James Aaron Royle Jr., D.C.

  • Chiropractor
  • Jackson, NJ
National Provider Identifier
1013921774
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00230800 Issued in NJ
Practice address
255 S New Prospect Rd
Jackson, NJ 08527-1758
Phone
(732) 367-1099
Fax
(732) 367-1909
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

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 38MC00230800 NJ Primary

Addresses

Primary practice location

255 S New Prospect Rd
Jackson, NJ 08527-1758

Mailing address

255 S New Prospect Rd
Jackson, NJ 08527-1758
Phone (732) 367-1099

Other identifiers 7

IdentifierTypeStateIssuer
222569797OtherNJHORIZON ID
P1622221OtherNJOXFORD
5898750OtherNJGHI PROVIDER ID
1544919OtherNJUNITED HEALTHCARE ID
2129947000OtherNMAMERIHEALTH ID
2K6986OtherNJHEALTHNET PROVIDER ID
2013606MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101209000173 NJ Practitioner - Chiropractic 4880881325 Practice locations: Jackson, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00230800NJMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013921774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S NEW PROSPECT RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271758",
            "telephone_number": "732-367-1099",
            "fax_number": "732-367-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S NEW PROSPECT RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271758",
            "telephone_number": "732-367-1099",
            "fax_number": "732-367-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYLE",
        "first_name": "JAMES",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00230800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON ID",
            "identifier": "222569797",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1622221",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER ID",
            "identifier": "5898750",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID",
            "identifier": "1544919",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ID",
            "identifier": "2129947000",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PROVIDER ID",
            "identifier": "2K6986",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2013606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, 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.
  • 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.