Organization Active NPI

Chiropractic Institute of Health & Longevity,PA

  • Chiropractor
  • Brick, NJ
National Provider Identifier
1124345277
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
39MC00390100 Issued in NJ
Legal business name
CHIROPRACTIC INSTITUTE OF HEALTH & LONGEVITY,PA
Practice address
214 Chambersbridge Rd
Brick, NJ 08723-2802
Phone
(732) 262-5066
Fax
(732) 262-5011
NPI assigned
Apr 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Matilde Grauso
Title
Office Manager
Phone
(732) 262-5066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 39MC00390100 NJ Primary

Addresses

Primary practice location

214 Chambersbridge Rd
Brick, NJ 08723-2802

Mailing address

214 Chambersbridge Rd
Brick, NJ 08723-2802
Phone (732) 262-5066

National Provider Directory

National Provider Directory

Locations

214 Chambers Bridge Rd
Brick, NJ 08723
Phone (732) 262-5066

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1124345277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CHAMBERSBRIDGE RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087232802",
            "telephone_number": "732-262-5066",
            "fax_number": "732-262-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CHAMBERSBRIDGE RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087232802",
            "telephone_number": "732-262-5066",
            "fax_number": "732-262-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC INSTITUTE OF HEALTH & LONGEVITY,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "GRAUSO",
        "authorized_official_first_name": "MATILDE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-262-5066"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "39MC00390100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.