Kim Wojcik DC LLC
Organization Active NPI Chiropractor · Allentown, NJ
NPI 1124388996 · NPPES record last updated May 25, 2012
Key facts
- NPI
- 1124388996
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 38MC00422400 (NJ)
- Legal business name
- KIM WOJCIK DC LLC
- Practice address
- 77 N Main St
Allentown, NJ 08501-1609 - Phone
- (609) 208-1582
- Fax
- (609) 259-5658
- NPI assigned
- May 25, 2012
- Organization subpart
- No
Authorized official
- Name
- Kim Wojcik, D.C.
- Title
- Sole Member
- Phone
- (609) 208-1582
Practitioners 1
-
Kim R. Wojcik, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141008002088 | NJ | Part B Supplier - Clinic/Group Practice | 3678793940 |
Receives reassigned benefits from 1 practitioner Practice locations: Allentown, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 38MC00422400 | NJ | Yes |
Addresses
Primary practice location
77 N Main St
Allentown, NJ 08501-1609
Mailing address
77 N Main St
Allentown, NJ 08501-1609
Phone (609) 208-1582
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WO740668 | Other | NJ | MEDICARE |
Other providers in Allentown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.