Organization Active NPI

Pain Performance Chiropractic Health LLC

  • Chiropractor
  • Manchester, NJ
National Provider Identifier
1174008486
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PAIN PERFORMANCE CHIROPRACTIC HEALTH LLC
Practice address
2116 Highway 70
Manchester, NJ 08759-4734
Phone
(732) 657-2225
NPI assigned
Oct 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Authorized official

Name
Lance A Nemiroff, DCNPI 1831276633
Title
Partner
Phone
(179) 841-2445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2116 Highway 70
Manchester, NJ 08759-4734

Mailing address

260 Sky Manor Blvd
Brick, NJ 08723-6873
Phone (917) 841-2445

Other names 1

  • Manchester Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181207002225 NJ Part B Supplier - Clinic/Group Practice 8628312287 Receives reassigned benefits from 2 practitioners
Practice locations: Manchester, NJ

National Provider Directory

National Provider Directory

Locations

2116 Route 70
Manchester, NJ 08759
Phone (732) 657-2225

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1174008486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 SKY MANOR BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236873",
            "telephone_number": "917-841-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 HIGHWAY 70",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087594734",
            "telephone_number": "732-657-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN PERFORMANCE CHIROPRACTIC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "NEMIROFF",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "179-841-2445",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manchester Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.