Active NPI
Howard B. Kook, D.C.
- Chiropractor
- Maplewood, NJ
National Provider Identifier
1104870559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC02880
- Practice address
- 1955 Springfield Ave
Suite 104
Maplewood, NJ 07040-3441 - Phone
- (973) 762-2526
- Fax
- (973) 762-1713
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC02880 | NJ | Primary |
Addresses
Primary practice location
1955 Springfield Ave
Suite 104
Maplewood, NJ 07040-3441
Mailing address
1955 Springfield Ave
Suite 104
Maplewood, NJ 07040-3441
Phone (973) 762-2526
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8764603 | Medicaid | NJ | |
| 223530677 | Other | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1955 Springfield Ave
Maplewood, NJ 07040-3417
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC02880 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard B. Kook, D.C., P.C. | Chiropractor | Current | Accepting new patients |
Locations
1955 Springfield Ave
Ste 104
Maplewood, NJ 07040
Phone (973) 762-2526
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.
-
- Chiropractor
- Maplewood, NJ
- NPI 1225388754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1104870559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1955 SPRINGFIELD AVE",
"address_2": "SUITE 104",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070403441",
"telephone_number": "973-762-2526",
"fax_number": "973-762-1713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1955 SPRINGFIELD AVE",
"address_2": "SUITE 104",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070403441",
"telephone_number": "973-762-2526",
"fax_number": "973-762-1713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOOK",
"first_name": "HOWARD",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC02880",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8764603",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "223530677",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.