Individual provider Active NPI

Alan Ira Schwartz, D.C.

  • Chiropractor
  • East Brunswick, NJ
National Provider Identifier
1063559839
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC02282 Issued in NJ
Practice address
150A Tices LN
East Brunswick, NJ 08816-2015
Phone
(732) 254-5553
Fax
(732) 238-6194
NPI assigned
Jan 31, 2007
Last updated
Nov 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC02282 NJ Primary

Addresses

Primary practice location

150A Tices LN
East Brunswick, NJ 08816-2015

Mailing address

10 Fairview Rd
Marlboro, NJ 07746-1368
Phone (732) 687-5402

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110210000030 NJ Practitioner - Chiropractic 7810177714 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC02282NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Old Bridge Spine & Wellness Center,PA CurrentSince Dec 3, 2019 Accepting new patients
Innovative Wellness Center PC Chiropractor CurrentSince Oct 1, 2020 Accepting new patients

Locations

15 E Railroad Ave
Jamesburg, NJ 08831
Phone (732) 656-1740

144 State Route 34
Matawan, NJ 07747
Phone (732) 316-5895

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1063559839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FAIRVIEW RD",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461368",
            "telephone_number": "732-687-5402",
            "fax_number": "732-786-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150A TICES LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162015",
            "telephone_number": "732-254-5553",
            "fax_number": "732-238-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "ALAN",
        "middle_name": "IRA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC02282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.