Hsnnj Chiro PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HSNNJ CHIRO PC

Practice address

12 Eisenhower Pkwy Ste 1
Roseland, NJ 07068-1638

Phone

(973) 200-2424

NPI assigned

Feb 4, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Jenna Patel, DCNPI 1386409506

Title

Owner

Phone

(973) 200-2424

Specialties & licenses 1

Addresses

Other names 1

• HealthSource of Roseland Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenna Patel

  • Chiropractor
  • Roseland, NJ
  • NPI 1386409506
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1033923636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 EISENHOWER PKWY STE 1",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681638",
            "telephone_number": "973-200-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 EISENHOWER PKWY STE 1",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681638",
            "telephone_number": "973-200-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSNNJ CHIRO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-200-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of Roseland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Roseland, NJ
• Providers in Roseland, 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 4, 2025; 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.