Jeffrey Mark Ben-Ezra

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00463200 Issued in NJ

Practice address

24 Village Court
Hazlet, NJ 07730

Phone

(732) 888-0595

Fax

(732) 888-8351

NPI assigned

Sep 5, 2006

Sex

Male

Sole proprietor

No

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

• Ben-Ezra Chiropractic Wellness Center

  • Chiropractor
  • Hazlet, NJ
  • NPI 1720223969
  Medicare reassignment NPD Authorized official

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053413435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 VILLAGE COURT",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "07730",
            "telephone_number": "732-888-0595",
            "fax_number": "732-888-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 VILLAGE COURT",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "07730",
            "telephone_number": "732-888-0595",
            "fax_number": "732-888-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEN-EZRA",
        "first_name": "JEFFREY",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00463200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6455603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Edwin Beck Jr.
• Wendyanne Beedoo, LSW
• Behavioral Health Institute of Monmouth County
• Heather Edgar Beland, OT
• Ben-Ezra Chiropractic Wellness Center
• Andree Louise Benoist, LCSW
• Elizabeth Bergen
• Kristen Bertinelli
• Glenn Betancourt, MA, LAC. NCC
• Ori Biala

• All providers in Hazlet, NJ
• Chiropractor in New Jersey

• 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.