Individual provider Active NPI

Timothy Alvin Bialecki, D.C.

  • Chiropractor
  • Metuchen, NJ
National Provider Identifier
1114928678
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005746 Issued in NY
Practice address
276 Main St
Metuchen, NJ 08840-2453
Phone
(732) 549-2872
Fax
(732) 494-6919
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00361400 NJ
Chiropractor 111N00000X DC-003921-L PA
Chiropractor 111N00000X 005746 NY Primary

Addresses

Primary practice location

276 Main St
Metuchen, NJ 08840-2453

Mailing address

276 Main St
Metuchen, NJ 08840-2453
Phone (732) 549-2872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00361400NJMDChiropractor
DC-003921-LPAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1114928678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 MAIN ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402453",
            "telephone_number": "732-549-2872",
            "fax_number": "732-494-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 MAIN ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402453",
            "telephone_number": "732-549-2872",
            "fax_number": "732-494-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIALECKI",
        "first_name": "TIMOTHY",
        "middle_name": "ALVIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00361400",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-003921-L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "005746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.