Organization Active NPI

Monmouth Chiropractic Neurology Assoc PA

  • Neurology Chiropractor
  • Long Branch, NJ
National Provider Identifier
1083801526
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
38MC00384000 Issued in NJ
Legal business name
MONMOUTH CHIROPRACTIC NEUROLOGY ASSOC PA
Practice address
279 3Rd Ave
Suite 404
Long Branch, NJ 07740-6211
Phone
(732) 229-5250
Fax
(732) 229-5280
NPI assigned
Sep 28, 2007
Last updated
Dec 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Authorized official

Name
Dr. Aldo R. Scopelliti, D.C.NPI 1568524049
Title
Physician
Phone
(732) 229-5250

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 38MC00384000 NJ Primary

Addresses

Primary practice location

279 3Rd Ave
Suite 404
Long Branch, NJ 07740-6211

Mailing address

279 3Rd Ave
Suite 404
Long Branch, NJ 07740-6205
Phone (732) 229-5250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120130000507 NJ Part B Supplier - Clinic/Group Practice 7416114780 Receives reassigned benefits from 1 practitioner
Practice locations: Long Branch, NJ

National Provider Directory

National Provider Directory

Locations

279 3rd Ave
Ste 404
Long Branch, NJ 07740
Phone (732) 229-5250

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": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1083801526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 3RD AVE",
            "address_2": "SUITE 404",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406205",
            "telephone_number": "732-229-5250",
            "fax_number": "732-229-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 3RD AVE",
            "address_2": "SUITE 404",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406211",
            "telephone_number": "732-229-5250",
            "fax_number": "732-229-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH CHIROPRACTIC NEUROLOGY ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "SCOPELLITI",
        "authorized_official_first_name": "ALDO",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-229-5250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NJ",
            "license": "38MC00384000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.