NPIMap

Organization Active NPI

Elite Performance Chiropractic and Physical Therapy PC

  • Chiropractor
  • Aberdeen, NJ
National Provider Identifier
1063923647
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00470000 Issued in NJ
Legal business name
ELITE PERFORMANCE CHIROPRACTIC AND PHYSICAL THERAPY PC
Practice address
1061 Route 34 Ste B
Aberdeen, NJ 07747-2171
Phone
(973) 970-6848
Fax
(973) 970-6849
NPI assigned
Oct 23, 2017
Last updated
Oct 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Authorized official

Name
Dr. John T Lacognata, DCNPI 1811949233
Title
Owner / Chiropractor
Phone
(732) 970-6848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00470000 NJ Primary
Physical Therapist 225100000X 40QA01427400 NJ
Physical Therapist 225100000X 40QA01576500 NJ
Physical Therapist 225100000X 40QA00491800 NJ

Addresses

Primary practice location

1061 Route 34 Ste B
Aberdeen, NJ 07747-2171

Mailing address

252 Nottingham Rd
Morganville, NJ 07751-9517
Phone (732) 441-9898

National Provider Directory

National Provider Directory

Locations

1061 State Route 34
Ste B
Matawan, NJ 07747
Phone (732) 970-6848

Practitioners & affiliated clinicians

Practitioners 1

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": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1063923647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 NOTTINGHAM RD",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077519517",
            "telephone_number": "732-441-9898",
            "fax_number": "732-441-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 ROUTE 34 STE B",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077472171",
            "telephone_number": "973-970-6848",
            "fax_number": "973-970-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PERFORMANCE CHIROPRACTIC AND PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "LACOGNATA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER / CHIROPRACTOR",
        "authorized_official_telephone_number": "732-970-6848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00470000",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01427400",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01576500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00491800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.