Ivan B Kosin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC03192 Issued in NJ

Practice address

1594 Route 130
North Brunswick, NJ 08902-3040

Phone

(908) 753-5454

Fax

(732) 821-7580

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brunswick Chiropractic Center of NJ LLCGroup PAC ID 6002075231, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brunswick Chiropractic Center of NJ LLC

  • Chiropractor
  • North Brunswick, NJ
  • NPI 1073812509
  Medicare reassignment Care Compare group NPD
• Sellari Chiropractic Center, PC

  • Chiropractor
  • North Brunswick, NJ
  • NPI 1104942564
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1023058294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 ROUTE 130",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023040",
            "telephone_number": "908-753-5454",
            "fax_number": "732-821-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 ROUTE 130",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023040",
            "telephone_number": "908-753-5454",
            "fax_number": "732-821-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSIN",
        "first_name": "IVAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC03192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle S Kim
• David Kirschenbaum, M.D.
• Lisa Marie Kliewe
• Meenu Kombathumani
• Jenna Kong, RDN
• Prathibha Kulakkuzhiyil Balan
• Swati Krishna Kulkarni, DMD
• Nishad Kuriyannoorkunnel Balan
• Durga D Kurra
• Darien Kvyatkovsky

• Chiropractor in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.