Organization Active NPI

Healing Hands of Manahawkin

  • Chiropractor
  • Manahawkin, NJ
National Provider Identifier
1114233269
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00586700 Issued in NJ
Legal business name
HEALING HANDS OF MANAHAWKIN
Practice address
691 Mill Creek Rd
Suite 5
Manahawkin, NJ 08050-3531
Phone
(609) 978-4304
Fax
(609) 978-5585
NPI assigned
Aug 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Authorized official

Name
Nicole Bonner, DCNPI 1942366711
Title
Chiropractor
Phone
(609) 978-4304

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 38MC00586700 NJ Primary

Addresses

Primary practice location

691 Mill Creek Rd
Suite 5
Manahawkin, NJ 08050-3531

Mailing address

691 Mill Creek Rd
Suite 5
Manahawkin, NJ 08050-3531
Phone (609) 978-4304

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101222000057 NJ Part B Supplier - Clinic/Group Practice 2860680535 Receives reassigned benefits from 2 practitioners
Practice locations: Manahawkin, NJ

National Provider Directory

National Provider Directory

Locations

691 Mill Creek Rd
Ste 5
Manahawkin, NJ 08050
Phone (609) 978-4304

Practitioners & affiliated clinicians

Practitioners 3

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": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1114233269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 MILL CREEK RD",
            "address_2": "SUITE 5",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503531",
            "telephone_number": "609-978-4304",
            "fax_number": "609-978-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 MILL CREEK RD",
            "address_2": "SUITE 5",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503531",
            "telephone_number": "609-978-4304",
            "fax_number": "609-978-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS OF MANAHAWKIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "609-978-4304",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00586700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.