Active NPI
John Joseph Mainiero, DC
- Chiropractor
- Vineland, NJ
National Provider Identifier
1144208166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00473400
- Practice address
- 1420 South Lincoln Ave
Vineland, NJ 08361 - Phone
- (856) 691-5900
- Fax
- (856) 691-3801
- NPI assigned
- Jan 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00473400 | NJ | Primary |
Addresses
Primary practice location
1420 South Lincoln Ave
Vineland, NJ 08361
Mailing address
1420 South Lincoln Ave
Vineland, NJ 08361
Phone (856) 691-5900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 736045 | Other | PA | AETNA |
| 1D6669409 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00473400 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1144208166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 SOUTH LINCOLN AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "08361",
"telephone_number": "856-691-5900",
"fax_number": "856-691-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 SOUTH LINCOLN AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "08361",
"telephone_number": "856-691-5900",
"fax_number": "856-691-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAINIERO",
"first_name": "JOHN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00473400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "736045",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1D6669409",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.