Organization Active NPI

Maher 64 Chiropractic, LLC

Doing business as Mt Olive Chiropractic Center

  • Chiropractor
  • Budd Lake, NJ
National Provider Identifier
1033303698
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00646400 Issued in NJ
Legal business name
MAHER 64 CHIROPRACTIC, LLC
Doing business as
Mt Olive Chiropractic Center
Practice address
98 US Highway 46
Village Green Annex
Budd Lake, NJ 07828-1818
Phone
(973) 347-0500
Fax
(973) 347-1512
NPI assigned
Aug 28, 2007
Last updated
Aug 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Michael L Maher II, DCNPI 1780649392
Title
Owner/Chiropractor
Phone
(973) 347-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00646400 NJ Primary

Addresses

Primary practice location

98 US Highway 46
Village Green Annex
Budd Lake, NJ 07828-1818

Mailing address

98 US Highway 46
Village Green Annex
Budd Lake, NJ 07828-1818
Phone (973) 347-0500

Other names 1

  • Mt Olive Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080305000543 NJ Part B Supplier - Clinic/Group Practice 2062597792 Receives reassigned benefits from 1 practitioner
Practice locations: Budd Lake, NJ

National Provider Directory

National Provider Directory

Locations

98 US Highway 46
Budd Lake, NJ 07828
Phone (973) 347-0500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1033303698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 US HIGHWAY 46",
            "address_2": "VILLAGE GREEN ANNEX",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078281818",
            "telephone_number": "973-347-0500",
            "fax_number": "973-347-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 US HIGHWAY 46",
            "address_2": "VILLAGE GREEN ANNEX",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078281818",
            "telephone_number": "973-347-0500",
            "fax_number": "973-347-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHER 64 CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "MAHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "973-347-0500",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00646400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Olive Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Budd Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.