Active NPI
Jeremy J Robinson, DC
- Chiropractor
- Elizabeth, NJ
National Provider Identifier
1083755490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00616700
- Practice address
- 400 Westfield Ave
Elizabeth, NJ 07208-1621 - Phone
- (908) 428-8001
- Fax
- (908) 354-8012
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 001493 | CT | |
| Chiropractor | 111N00000X | 38MC00616700 | NJ | Primary |
Addresses
Primary practice location
400 Westfield Ave
Elizabeth, NJ 07208-1621
Mailing address
400 Westfield Ave
Elizabeth, NJ 07208-1621
Phone (908) 428-8001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001493 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connaughty Chiropractic Center | Chiropractor | Past | Accepting new patients |
| New Haven Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Old Saybrook, CT
- NPI 1720140718
-
- Chiropractor
- New Haven, CT
- NPI 1326168758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1083755490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 WESTFIELD AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072081621",
"telephone_number": "908-428-8001",
"fax_number": "908-354-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 WESTFIELD AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072081621",
"telephone_number": "908-428-8001",
"fax_number": "908-354-8012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "JEREMY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "001493",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00616700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.