Penczak Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00554100 Issued in NJ

Legal business name

PENCZAK FAMILY CHIROPRACTIC, LLC

Practice address

2041 Route 35
Wall, NJ 07719

Phone

(732) 974-7022

Fax

(732) 974-7023

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Susan Penczak, D.C.NPI 1477584100

Title

Owner

Phone

(732) 974-7022

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan H Penczak, DC

  • Chiropractor
  • Wall Township, NJ
  • NPI 1477584100
  Medicare reassignment NPD Authorized official
• Richard Michael Curcio, DC

  • Chiropractor
  • Wall Township, NJ
  • NPI 1932137361
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1083773923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 ROUTE 35",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "07719",
            "telephone_number": "732-974-7022",
            "fax_number": "732-974-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 ROUTE 35",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "07719",
            "telephone_number": "732-974-7022",
            "fax_number": "732-974-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENCZAK FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "PENCZAK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-974-7022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00554100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO PIN",
            "identifier": "2273901000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Open MRI at Wall, L.L.C. (Open Mri and Diagnostic Imaging of Wall)
• Paradiso Pharmaceuticals Inc (colfax pharmacy)
• Kevin Parks, D.C.
• Philip George Passes, D.O.
• Crystal Lynn Pemberton, FNP-C
• Personal Care Molcular Imaging, P.C.
• Maria G Pyontek, D.O.
• Jodi Rachmelowitz, D.M.D., L.L.C.
• Naheed Rifat Rahmet, MD
• Reroot and Rise Counseling

• Chiropractor in Wall, NJ
• Providers in Wall, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.