Jennifer L Malloy, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00748300 Issued in NJ

Practice address

418 Chestnut St
Union, NJ 07083-9306

Phone

(908) 810-9002

Fax

(908) 810-9012

NPI assigned

Jun 18, 2018

Last updated

Jun 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine and Sports Medicine of Lincroft, LLCGroup PAC ID 4688002264, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spine & Sports Medicine of Lincroft, LLC

  • Physical Medicine & Rehabilitation Physician
  • Lincroft, NJ
  • NPI 1649832197

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Northeast Surgery Associates LLC

  • Orthopaedic Surgery Physician
  • Manasquan, NJ
  • NPI 1356929632
  NPD

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1144714833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 CHESTNUT ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070839306",
            "telephone_number": "908-810-9002",
            "fax_number": "908-810-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 CHESTNUT ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070839306",
            "telephone_number": "908-810-9002",
            "fax_number": "908-810-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00748300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makslan Health LLC
• Malcolm H. Hermele, M. D., P.a.
• Mychell Maldonado, MS, CCC-SLP
• Patricia Maldonado
• Antonio Malicat
• Peter Maloba
• Rodwell Manalo
• Erin Manansala, FNP
• Pranavi Mandava
• Manicare Home Health

• Chiropractor in Union, NJ
• Providers in Union, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.