Individual provider Active NPI

James Francis Lauck, DC

  • Chiropractor
  • Milford, NJ
National Provider Identifier
1124192026
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00506500 Issued in NJ
Practice address
740 Milford Warren Glen Rd
Milford, NJ 08848
Phone
(908) 995-0777
Fax
(908) 995-0778
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00506500 NJ Primary

Addresses

Primary practice location

740 Milford Warren Glen Rd
Milford, NJ 08848

Mailing address

740 Milford Warren Glen Rd
Milford, NJ 08848
Phone (908) 995-0777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000356 NJ Practitioner - Chiropractic 5698935294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

740 Milford Warren Glen Rd
Milford, NJ 08848-1647
Phone (908) 995-0777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00506500NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lauck Chiropractic Health Center Inc. Chiropractor CurrentSince Mar 20, 1997 Accepting new patients
Active Health Chiropractic, LLC Chiropractor Past Accepting new patients

Locations

740 Milford Warren Glen Rd
Milford, NJ 08848
Phone (908) 995-0777

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124192026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 MILFORD WARREN GLEN RD",
            "city": "MILFORD",
            "state": "NJ",
            "postal_code": "08848",
            "telephone_number": "908-995-0777",
            "fax_number": "908-995-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MILFORD WARREN GLEN RD",
            "city": "MILFORD",
            "state": "NJ",
            "postal_code": "08848",
            "telephone_number": "908-995-0777",
            "fax_number": "908-995-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUCK",
        "first_name": "JAMES",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00506500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.