Organization Active NPI

Center for Chiropractic Wellness

  • Chiropractor
  • Red Bank, NJ
National Provider Identifier
1053553628
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00512500 Issued in NJ
Legal business name
CENTER FOR CHIROPRACTIC WELLNESS
Practice address
188 E Bergen PL
Suite 301
Red Bank, NJ 07701-2161
Phone
(732) 233-5609
Fax
(732) 758-8250
NPI assigned
Mar 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Dr. Christopher Donofri, D.C.NPI 1578654307
Title
President
Phone
(732) 233-5609

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00512500 NJ Primary

Addresses

Primary practice location

188 E Bergen PL
Suite 301
Red Bank, NJ 07701-2161

Mailing address

188 E Bergen PL
Suite 301
Red Bank, NJ 07701-2161
Phone (732) 233-5609

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090429000639 NJ Part B Supplier - Clinic/Group Practice 9739237868 Receives reassigned benefits from 1 practitioner
Practice locations: Shrewsbury, NJ

National Provider Directory

National Provider Directory

Locations

167 Avenue At the Cmn
Ste 12
Shrewsbury, NJ 07702
Phone (732) 542-2000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1238284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1053553628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 E BERGEN PL",
            "address_2": "SUITE 301",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012161",
            "telephone_number": "732-233-5609",
            "fax_number": "732-758-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 E BERGEN PL",
            "address_2": "SUITE 301",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012161",
            "telephone_number": "732-233-5609",
            "fax_number": "732-758-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CHIROPRACTIC WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-29",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "DONOFRI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-233-5609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00512500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.