Organization Active NPI

Paul Family Chiropractic, PC

  • Chiropractor
  • Princeton, NJ
National Provider Identifier
1124203443
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC004998 Issued in NJ
Legal business name
PAUL FAMILY CHIROPRACTIC, PC
Practice address
1 Airport PL
Suite # 4
Princeton, NJ 08540-1532
Phone
(609) 924-5678
Fax
(609) 924-5652
NPI assigned
Jan 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Joseph Paul, DCNPI 1871615278
Title
President
Phone
(609) 924-5678

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 38MC004998 NJ Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 38MC006069 NJ

Addresses

Primary practice location

1 Airport PL
Suite # 4
Princeton, NJ 08540-1532

Mailing address

1 Airport PL
Suite # 4
Princeton, NJ 08540-1532
Phone (609) 924-5678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120329000727 NJ Part B Supplier - Clinic/Group Practice 4183884034 Receives reassigned benefits from 1 practitioner
Practice locations: Princeton, NJ

National Provider Directory

National Provider Directory

Locations

1 Airport Pl
Ste 4
Princeton, NJ 08540
Phone (609) 924-5678

Practitioners & affiliated clinicians

Practitioners 1

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": "1199491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1124203443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AIRPORT PL",
            "address_2": "SUITE # 4",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401532",
            "telephone_number": "609-924-5678",
            "fax_number": "609-924-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AIRPORT PL",
            "address_2": "SUITE # 4",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401532",
            "telephone_number": "609-924-5678",
            "fax_number": "609-924-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-05",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-924-5678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC004998",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC006069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.