Dr, Theodore Hiller

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

38MC06321600 Issued in NJ

Legal business name

DR, THEODORE HILLER

Practice address

764 Easton Ave
Somerset, NJ 08873-1856

Phone

(732) 846-8060

Fax

(732) 846-0233

NPI assigned

Feb 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Theodore J Hiller, D.C. P.A.

Title

Corporation

Phone

(732) 846-8069

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1073886602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 EASTON AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731856",
            "telephone_number": "732-846-8060",
            "fax_number": "732-846-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 EASTON AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731856",
            "telephone_number": "732-846-8060",
            "fax_number": "732-846-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR, THEODORE HILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "HILLER",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CORPORATION",
        "authorized_official_telephone_number": "732-846-8069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C. P.A."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "NJ",
            "license": "38MC06321600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.