Michael Paul Grodzielanek, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00587200 Issued in NJ

Practice address

69 S Black Horse Pike
Blackwood, NJ 08012-2952

Phone

(856) 401-0102

Fax

(856) 374-2345

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Mike'S Chiropractic LLCGroup PAC ID 3971754789, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Mike'S Chiropractic LLC

  • Chiropractor
  • Blackwood, NJ
  • NPI 1750462263
  Medicare reassignment Care Compare group NPD Authorized official
• Sandi Doe DC LLC

  • Chiropractor
  • Blackwood, NJ
  • NPI 1649647389
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1124061122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 S BLACK HORSE PIKE",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122952",
            "telephone_number": "856-401-0102",
            "fax_number": "856-374-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 S BLACK HORSE PIKE",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122952",
            "telephone_number": "856-401-0102",
            "fax_number": "856-374-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRODZIELANEK",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00587200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloucester Township Public Schools
• Denise Graham, LPN
• Yvette Graham
• Cortney Greenwell
• Thomas Grello, PT
• Guiding Transportation
• Lois R Halleck, NURSE PRACTITIONER
• Dana Hansbury
• Harold K. Doe, Jr, D.C., PA
• Harrison Healthcare Services, LLC

• Chiropractor in Blackwood, NJ
• Providers in Blackwood, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.

Verify at the official NPI Registry.