Individual provider Active NPI

Jeffrey Scott Larkin, D.C.

  • Sports Physician Chiropractor
  • Warren, NJ
National Provider Identifier
1023165552
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
38MC00477400 Issued in NJ
Practice address
149 Mount Bethel Rd
Warren, NJ 07059-5154
Phone
(908) 626-1995
Fax
(908) 626-1994
NPI assigned
Jan 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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
Sports Physician Chiropractor 111NS0005X 38MC00477400 NJ Primary

Addresses

Primary practice location

149 Mount Bethel Rd
Warren, NJ 07059-5154

Mailing address

149 Mount Bethel Rd
Warren, NJ 07059-5154
Phone (908) 626-1995

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120719000393 NJ Practitioner - Chiropractic 4284899485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Larkin ChiropracticGroup PAC ID 5395900591, 2 clinicians

Practice addresses (Care Compare)

5 Powderhorn Dr
Warren, NJ 07059-5105
Phone (908) 626-1995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00477400NJMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Larkin Chiropractic CurrentSince Aug 1, 2000 Accepting new patients

Locations

5 Powderhorn Dr
Ste 1
Warren, NJ 07059

149 Mount Bethel Rd
Warren, NJ 07059
Phone (908) 626-1995

5 Powderhorn Dr
Warren, NJ 07059
Phone (908) 547-0729

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023165552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MOUNT BETHEL RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595154",
            "telephone_number": "908-626-1995",
            "fax_number": "908-626-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 MOUNT BETHEL RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595154",
            "telephone_number": "908-626-1995",
            "fax_number": "908-626-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00477400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, 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.
  • 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.