Jenkintown Chiropractic Center, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

DC004405L Issued in PA

Legal business name

JENKINTOWN CHIROPRACTIC CENTER, INC.

Practice address

435 Johnson St
Jenkintown, PA 19046-2705

Phone

(215) 885-8730

Fax

(215) 885-7665

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stuart B. Tollen, D.C.NPI 1477512374

Title

President

Phone

(215) 885-8730

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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

• Stuart B Tollen, D.C.

  • Sports Physician Chiropractor
  • Jenkintown, PA
  • NPI 1477512374
  Medicare reassignment NPD Authorized official
• Namsoo David Cho, D.C.

  • Chiropractor
  • Jenkintown, PA
  • NPI 1356490403
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1053486779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 JOHNSON ST",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462705",
            "telephone_number": "215-885-8730",
            "fax_number": "215-885-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 JOHNSON ST",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462705",
            "telephone_number": "215-885-8730",
            "fax_number": "215-885-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKINTOWN CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "TOLLEN",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-885-8730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PA",
            "license": "DC004405L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004405572",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1985023",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEATH CARE EAST",
            "identifier": "2795998000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JDM Partners LLC
• Frantz Allan Jean Baptiste
• Jeffrey S Grand, PSYD, PLLC
• Edward Jelesiewicz, C.R.N.P.
• Sharon Rose Jenkins
• Jenkintown Dental Excellence
• Jenkintown Dental Pavilion LLC
• Jenkintown Endodontics, LLC
• Jenkintown Family Practice PC
• Jenkintown Hearing Aid Center Inc.

• Medical Specialty Clinic/Center in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Medical Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.