Organization Active NPI

June M. Shell, DC Inc

  • Chiropractor
  • Mountainside, NJ
National Provider Identifier
1083922793
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00461900 Issued in NJ
Legal business name
JUNE M. SHELL, DC INC
Practice address
1020 Springfield Ave
Suite 107
Mountainside, NJ 07092-2988
Phone
(908) 233-6262
Fax
(908) 233-6565
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Dr. June M Shell, DCNPI 1881752194
Title
Owner
Phone
(908) 233-6262

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00461900 NJ Primary

Addresses

Primary practice location

1020 Springfield Ave
Suite 107
Mountainside, NJ 07092-2988

Mailing address

1020 Springfield Ave
Suite 107
Mountainside, NJ 07092-2988
Phone (908) 233-6262

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101014000833 NJ Part B Supplier - Clinic/Group Practice 1658563234 Receives reassigned benefits from 1 practitioner
Practice locations: Old Bridge, NJ; Cranford, NJ

National Provider Directory

National Provider Directory

Locations

19 Holly St
Cranford, NJ 07016
Phone (908) 272-7500

1020 Springfield Ave
Ste 107
Mountainside, NJ 07092
Phone (908) 233-6262

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1083922793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SPRINGFIELD AVE",
            "address_2": "SUITE 107",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922988",
            "telephone_number": "908-233-6262",
            "fax_number": "908-233-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SPRINGFIELD AVE",
            "address_2": "SUITE 107",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922988",
            "telephone_number": "908-233-6262",
            "fax_number": "908-233-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNE M. SHELL, DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "SHELL",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-233-6262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00461900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountainside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.