Colts Neck Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC0181900 Issued in NJ

Legal business name

COLTS NECK CHIROPRACTIC CENTER

Practice address

30 Route 34
Colts Neck Shopping Center
Colts Neck, NJ 07722-0538

Phone

(732) 462-0049

Fax

(732) 462-0059

NPI assigned

May 13, 2008

Reactivated

Aug 8, 2008

Organization subpart

No

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

Authorized official

Name

Gary R Spencer, DCNPI 1043281728

Title

Owner

Phone

(732) 462-0049

Specialties & licenses 1

Addresses

Practitioners 1

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

• Gary R. Spencer, D.C.

  • Sports Physician Chiropractor
  • Colts Neck, NJ
  • NPI 1043281728
  NPD (past) Authorized official

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1093982670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538",
            "address_2": "COLTS NECK SHOP CTR",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077220538",
            "telephone_number": "732-462-0049",
            "fax_number": "732-462-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ROUTE 34",
            "address_2": "COLTS NECK SHOPPING CENTER",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077220538",
            "telephone_number": "732-462-0049",
            "fax_number": "732-462-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLTS NECK CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-08-08",
        "deactivation_date": "2008-06-03",
        "reactivation_date": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-462-0049",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC0181900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Vincent Cocchiara, R.PH., C.C.P.
• Michelle Stacey Cohen, ATC
• Colts Neck Anti-Aging Med Center
• Colts Neck Apothecary Inc
• Colts Neck Apothecary Inc
• Colts Neck Family Drugs Inc
• Colts Neck Health Department
• Colts Neck OBGYN Associates, LLC
• Colts Neck Occupational Therapy, LLC
• Colts Neck Pediatrics, Inc.

• Chiropractor in Colts Neck, NJ
• Providers in Colts Neck, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.