NPIMap

Organization Active NPI

Body and Motion Chiropractic, LLC

  • Chiropractor
  • Medford, NJ
National Provider Identifier
1073813259
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00684700 Issued in NJ
Legal business name
BODY AND MOTION CHIROPRACTIC, LLC
Practice address
639 Stokes Rd
Suite 103
Medford, NJ 08055-3003
Phone
(609) 654-7020
Fax
(609) 654-7140
NPI assigned
Oct 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Dr. Kevin C Gyurina, D.C., C.C.W.P
Title
Owner
Phone
(609) 654-7020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00684700 NJ Primary

Addresses

Primary practice location

639 Stokes Rd
Suite 103
Medford, NJ 08055-3003

Mailing address

639 Stokes Rd
Suite 103
Medford, NJ 08055-3003
Phone (609) 654-7020

Other identifiers 1

IdentifierTypeStateIssuer
1699864496OtherNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1073813259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 STOKES RD",
            "address_2": "SUITE 103",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553003",
            "telephone_number": "609-654-7020",
            "fax_number": "609-654-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 STOKES RD",
            "address_2": "SUITE 103",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553003",
            "telephone_number": "609-654-7020",
            "fax_number": "609-654-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY AND MOTION CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "GYURINA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-654-7020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., C.C.W.P"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00684700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699864496",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.