Organization Active NPI

Premier Care Center LLC

  • Chiropractor
  • Manasquan, NJ
National Provider Identifier
1073717294
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PREMIER CARE CENTER LLC
Practice address
233 E Main St
Manasquan, NJ 08736-3043
Phone
(732) 528-5533
Fax
(732) 528-0360
NPI assigned
Jun 12, 2007
Last updated
Mar 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Martin E. Manzo, DCNPI 1750360244
Title
Owner Clinic Director
Phone
(732) 528-5533

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

233 E Main St
Manasquan, NJ 08736-3043

Mailing address

233 E Main St
Manasquan, NJ 08736-3043
Phone (732) 528-5533

National Provider Directory

National Provider Directory

Locations

233 E Main St
Manasquan, NJ 08736
Phone (732) 292-1910

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": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1073717294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E MAIN ST",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363043",
            "telephone_number": "732-528-5533",
            "fax_number": "732-528-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E MAIN ST",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363043",
            "telephone_number": "732-528-5533",
            "fax_number": "732-528-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "MANZO",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER CLINIC DIRECTOR",
        "authorized_official_telephone_number": "732-528-5533",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.