Coastline Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

COASTLINE CHIROPRACTIC, P.C.

Practice address

1107 St. George Ave.
Colonia, NJ 07067

Phone

(732) 381-7878

Fax

(732) 388-1015

NPI assigned

Jul 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen M. Lychock Sr., D.C.NPI 1164442166

Title

President

Phone

(732) 381-7878

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen M. Lychock Sr., D.C.

  • Chiropractor
  • Colonia, NJ
  • NPI 1164442166
  NPD (past) Authorized official
• Albert Campana, D.C.

  • Orthopedic Chiropractor
  • Barnegat, NJ
  • NPI 1851335020
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124049739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 ST. GEORGE AVE.",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "07067",
            "telephone_number": "732-381-7878",
            "fax_number": "732-388-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 ST. GEORGE AVE.",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "07067",
            "telephone_number": "732-381-7878",
            "fax_number": "732-388-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYCHOCK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-381-7878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jigisha Shankarbhai Chaudhary, M.B.B.S
• Chetankumar Keshavbhai Chauhan, MD
• Lolita L Chew
• Child, Adolescent and Adult Psychiatric Care LLC
• Nashwa Choudhry, PHARM D
• Colonia Care Pharmacy
• Colonia Dental Associates LLC
• Colonia Dental Group
• Colonia District No 12 First Aid Squad (Colonia First Aid Squad)
• Colonia Natural Pharmacy, Inc.

• Chiropractor in Colonia, NJ
• Providers in Colonia, 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 22, 2020; 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.