Individual provider Active NPI

Justin Culici, D.C.

  • Chiropractor
  • Needham, MA
National Provider Identifier
1144689324
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3527 Issued in MA
Practice address
1410 Highland Ave Ste 201
Needham, MA 02492-2617
Phone
(781) 449-5722
Fax
(781) 455-0074
NPI assigned
Feb 17, 2016
Last updated
Mar 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00734100 NJ
Chiropractor 111N00000X 3527 MA Primary

Addresses

Primary practice location

1410 Highland Ave Ste 201
Needham, MA 02492-2617

Mailing address

1410 Highland Ave
Ste 201
Needham, MA 02492-2617
Phone (781) 449-5722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160314000361 NJ Practitioner - Chiropractic 4082910377 Reassigns benefits to 1 organization
I20170131002156 MA Practitioner - Chiropractic 4082910377

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3350 Hwy 138
Suite 227
Wall Township, NJ 07719-9694
Phone (732) 280-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00734100NJMDChiropractor
3527MAMDMetabolic Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Active Release & Chiropractic Center LLC Chiropractor CurrentSince Jun 23, 2024 Accepting new patients

Locations

3350 Highway 138
Ste 227
Wall Township, NJ 07719
Phone (732) 280-1800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1144689324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 HIGHLAND AVE",
            "address_2": "STE 201",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922617",
            "telephone_number": "781-449-5722",
            "fax_number": "781-455-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 HIGHLAND AVE STE 201",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922617",
            "telephone_number": "781-449-5722",
            "fax_number": "781-455-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULICI",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-17",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00734100",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.