Individual provider Active NPI

Andrew Daniele, DC

  • Chiropractor
  • Matawan, NJ
National Provider Identifier
1134344617
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2528 Issued in NJ
Practice address
245 Main Astreet
Suite 2M
Matawan, NJ 07747-3244
Phone
(732) 583-0600
Fax
(732) 583-3446
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2528 NJ Primary

Addresses

Primary practice location

245 Main Astreet
Suite 2M
Matawan, NJ 07747-3244

Mailing address

245 Main Astreet
Suite 2M
Matawan, NJ 07747-3244
Phone (732) 583-0600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080131000474 NJ Practitioner - Chiropractic 5890877625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2528NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
About You Chiropractic, LLC Chiropractor CurrentSince Apr 1, 2014 Accepting new patients

Locations

245 Main St
Ste 2M
Matawan, NJ 07747
Phone (732) 242-4536

Organizations & group practices 1

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1134344617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 MAIN ASTREET",
            "address_2": "SUITE 2M",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473244",
            "telephone_number": "732-583-0600",
            "fax_number": "732-583-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 MAIN ASTREET",
            "address_2": "SUITE 2M",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473244",
            "telephone_number": "732-583-0600",
            "fax_number": "732-583-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELE",
        "first_name": "ANDREW",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "2528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.