Organization Active NPI

Peltzman Chiropractic Associates, LLC

  • Chiropractor
  • Matawan, NJ
National Provider Identifier
1043418288
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00357200 Issued in NJ
Legal business name
PELTZMAN CHIROPRACTIC ASSOCIATES, LLC
Practice address
591 Hwy 34
Matawan, NJ 07747-3049
Phone
(732) 566-7658
Fax
(732) 583-7847
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Dr. Jeffrey G. Peltzman, D.C.NPI 1366510042
Title
Owner
Phone
(732) 566-7658

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
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 38MC00357200 NJ Primary

Addresses

Primary practice location

591 Hwy 34
Matawan, NJ 07747-3049

Mailing address

591 Hwy 34
Matawan, NJ 07747-3049
Phone (732) 566-7658

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100504000052 NJ Part B Supplier - Clinic/Group Practice 5799813275 Receives reassigned benefits from 1 practitioner
Practice locations: Matawan, NJ

National Provider Directory

National Provider Directory

Locations

591 State Route 34
Matawan, NJ 07747
Phone (732) 566-7658

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1043418288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 HWY 34",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473049",
            "telephone_number": "732-566-7658",
            "fax_number": "732-583-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 HWY 34",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473049",
            "telephone_number": "732-566-7658",
            "fax_number": "732-583-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELTZMAN CHIROPRACTIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "PELTZMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-566-7658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00357200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.