Elevate Chiropractic & Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ELEVATE CHIROPRACTIC & WELLNESS

Practice address

70 Schanck Rd
Freehold, NJ 07728-5309

Phone

(732) 330-5305

NPI assigned

Dec 19, 2024

Organization subpart

No

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

Authorized official

Name

Tyler Jordan Digiovanni, DCNPI 1881426369

Title

Owner / Ceo

Phone

(732) 330-5305

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Tyler J Digiovanni, DC

  • Chiropractor
  • Freehold, NJ
  • NPI 1881426369
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1053129320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SUN HOLLOW RD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077311865",
            "telephone_number": "732-330-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 SCHANCK RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285309",
            "telephone_number": "732-330-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE CHIROPRACTIC & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "DIGIOVANNI",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "732-330-5305",
        "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": []
}

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• Chiropractor in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.