Individual provider Active NPI

Nicolas Chillemi, D.C.

  • Chiropractor
  • Scotch Plains, NJ
National Provider Identifier
1154625952
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00681200 Issued in NJ
Practice address
1949 Westfield Ave
Scotch Plains, NJ 07076-1717
Phone
(908) 322-8887
Fax
(908) 322-7888
NPI assigned
Jan 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00681200 NJ Primary
Nutrition Chiropractor 111NN1001X 38MC00681200 NJ

Addresses

Primary practice location

1949 Westfield Ave
Scotch Plains, NJ 07076-1717

Mailing address

1949 Westfield Ave
Scotch Plains, NJ 07076-1717
Phone (908) 322-8887

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

LicenseStateTypeSpecialty
38MC00681200NJMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1154625952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 WESTFIELD AVE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761717",
            "telephone_number": "908-322-8887",
            "fax_number": "908-322-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 WESTFIELD AVE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761717",
            "telephone_number": "908-322-8887",
            "fax_number": "908-322-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILLEMI",
        "first_name": "NICOLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-07",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00681200",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NJ",
            "license": "38MC00681200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotch Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.