Individual provider Active NPI

Kaylie Rae Wilcox, DC

  • Chiropractor
  • Martinsville, NJ
National Provider Identifier
1093421430
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00796000 Issued in NJ
Practice address
1910 Washington Valley Rd Ste 4
Martinsville, NJ 08836-2026
Phone
(908) 547-0729
NPI assigned
Jan 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00796000 NJ Primary

Addresses

Primary practice location

1910 Washington Valley Rd Ste 4
Martinsville, NJ 08836-2026

Mailing address

966 Allen Ave
Saint Paul, MN 55118-1312
Phone (920) 229-8131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260625000159 NJ Practitioner - Chiropractic 6305319971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1910 Washington Valley Rd
Suite 4
Martinsville, NJ 08836-2026

3 Paisley LN
Basking Ridge, NJ 07920-3733

307 Liberty Village Dr
Warren, NJ 07059-2711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00796000NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Strive2Move CurrentSince Apr 29, 2026 Accepting new patients

Locations

1910 Washington Valley Rd
Ste 2A
Martinsville, NJ 08836

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1093421430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 ALLEN AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551181312",
            "telephone_number": "920-229-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 WASHINGTON VALLEY RD STE 4",
            "city": "MARTINSVILLE",
            "state": "NJ",
            "postal_code": "088362026",
            "telephone_number": "908-547-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "KAYLIE",
        "middle_name": "RAE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00796000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.