Individual provider Active NPI

Anne E Coffey, D.C.

  • Chiropractor
  • Bloomfield, NJ
National Provider Identifier
1073673117
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00615900 Issued in NJ
Practice address
1129 Broad St
Bloomfield, NJ 07003
Phone
(973) 338-3620
Fax
(973) 338-4849
NPI assigned
Dec 11, 2006
Last updated
Nov 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00615900 NJ Primary

Addresses

Primary practice location

1129 Broad St
Bloomfield, NJ 07003

Mailing address

140 Raymond Ave
Nutley, NJ 07110-2128
Phone (862) 368-4056

Other practice location 1

2 Arnot St
suite 3
Lodi, NJ 07644-1629
Phone (973) 472-5433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080922000288 NJ Practitioner - Chiropractic 6507933256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloomfield Total Health CenterGroup PAC ID 1850387010, 5 clinicians

Practice addresses (Care Compare)

1129 Broad Sreet
Bloomfield, NJ 07003-2918
Phone (973) 338-3620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1073673117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 RAYMOND AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102128",
            "telephone_number": "862-368-4056",
            "fax_number": "973-338-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "973-338-3620",
            "fax_number": "973-338-4849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Arnot St",
            "address_2": "suite 3",
            "address_purpose": "LOCATION",
            "city": "Lodi",
            "state": "NJ",
            "postal_code": "076441629",
            "country_code": "US",
            "telephone_number": "973-472-5433",
            "fax_number": "973-473-6833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "ANNE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00615900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.