Individual provider Active NPI

Brett Michael London

  • Chiropractor
  • Howell, NJ
National Provider Identifier
1194148262
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3MC00696100 Issued in NJ
Practice address
602 Candlewood Commons
Howell, NJ 07731
Phone
(732) 901-3001
Fax
(732) 901-3105
NPI assigned
Jan 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3MC00696100 NJ Primary

Addresses

Primary practice location

602 Candlewood Commons
Howell, NJ 07731

Mailing address

602 Candlewood Commons
Howell, NJ 07731
Phone (732) 901-3001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210823002110 NJ Practitioner - Chiropractic 8426453879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed PT LLCGroup PAC ID 0749535805, 183 clinicians

Practice addresses (Care Compare)

10 N Wood Ave
Linden, NJ 07036-5200

110 Edison PL
Suite 100
Newark, NJ 07102-4910
Phone (973) 718-7234

1122 Hwy 22
Suite 101
Mountainside, NJ 07092-1812
Phone (908) 233-3993

1225 Stuyvesant Ave
Union, NJ 07083-3837
Phone (908) 357-1655

14 -25 Plaza
R0Ad
Fair Lawn, NJ 07410-3546
Phone (201) 797-7373

153 Bergen Blvd
Suite 1
Fairview, NJ 07022-1937
Phone (201) 345-6173

161 Main St
Suite 105
West Orange, NJ 07052-5623
Phone (862) 335-0200

1914A Lincoln Hwy
Edison, NJ 08817-3284
Phone (848) 205-1405

2040 Millburn Ave
Maplewood, NJ 07040-3716
Phone (862) 800-6080

207 Livingston Ave
New Brunswick, NJ 08901-2933
Phone (908) 455-8200

211 Berdan Ave
Wayne, NJ 07470-3236
Phone (201) 249-6930

215 W Front St
Unit 108
Plainfield, NJ 07060-1167
Phone (732) 456-7320

266 Harristown Rd
Suite 200
Glen Rock, NJ 07452-3354
Phone (201) 445-7000

267 Broadway
Bayonne, NJ 07002-6236
Phone (551) 230-6648

271 King St
Suite 6
Perth Amboy, NJ 08861-4488
Phone (732) 798-5474

325 Claremont Ave
Unit 34
Montclair, NJ 07042-2218
Phone (201) 345-6173

34 Main St
Woodbridge, NJ 07095-3303
Phone (848) 999-4600

515 Brick Blvd
Brick, NJ 08723-6009
Phone (732) 800-6015

5605 Palisade Ave
West New York, NJ 07093-2125
Phone (551) 333-1867

572 Inman Ave
Colonia, NJ 07067-1134
Phone (732) 382-7600

634 Summit Ave
Jersey City, NJ 07306-3705
Phone (551) 355-0010

65 Mechanic St
Suite L 5
Red Bank, NJ 07701-1868
Phone (732) 747-0075

720 Bergen Ave
Jersey City, NJ 07306-4706
Phone (201) 857-0527

85 New Rd
Sportsmed Physical Therapy
Parsippany, NJ 07054-4235
Phone (973) 363-4290

884 Commons Way BLDG H
Sportsmed Physical Therapy
Toms River, NJ 08755-6430
Phone (732) 503-9007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3MC00696100NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed PT LLC Chiropractor CurrentSince Aug 16, 2021 Accepting new patients
Beam Chiropractic Health Center Chiropractor PastSince Jun 7, 2015 Accepting new patients

Locations

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1194148262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 CANDLEWOOD COMMONS",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "07731",
            "telephone_number": "732-901-3001",
            "fax_number": "732-901-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 CANDLEWOOD COMMONS",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "07731",
            "telephone_number": "732-901-3001",
            "fax_number": "732-901-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDON",
        "first_name": "BRETT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "3MC00696100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.