Organization Active NPI

Quality Chiropractic and Physical Therapy

  • Health Service Clinic/Center
  • Forked River, NJ
National Provider Identifier
1124446612
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
QUALITY CHIROPRACTIC AND PHYSICAL THERAPY
Practice address
15 Manchester Ave
Suite 15
Forked River, NJ 08731-1360
Phone
(609) 287-7659
NPI assigned
Apr 1, 2014
Last updated
Apr 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Tim HuangNPI 1013342393
Title
Owner
Phone
(609) 287-7659

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

15 Manchester Ave
Suite 15
Forked River, NJ 08731-1360

Mailing address

6 Samara Cir
Northfield, NJ 08225-1081

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140516000544 NJ Part B Supplier - Clinic/Group Practice 1658594817 Receives reassigned benefits from 1 practitioner
Practice locations: Forked River, NJ

National Provider Directory

National Provider Directory

Locations

15 Manchester Ave
Ste 15
Forked River, NJ 08731
Phone (609) 287-7659

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1124446612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SAMARA CIR",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MANCHESTER AVE",
            "address_2": "SUITE 15",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311360",
            "telephone_number": "609-287-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CHIROPRACTIC AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-287-7659"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.