Individual provider Active NPI

John Francis Carlucci, D.C.

  • Orthopedic Chiropractor
  • Jackson, NJ
National Provider Identifier
1194829507
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
38MC00350200 Issued in NJ
Practice address
2105 W County Line Rd
Suite # 7
Jackson, NJ 08527-2301
Phone
(732) 370-5800
Fax
(732) 370-6772
NPI assigned
Sep 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 38MC00350200 NJ Primary

Addresses

Primary practice location

2105 W County Line Rd
Suite # 7
Jackson, NJ 08527-2301

Mailing address

2105 W County Line Rd
Suite #7
Jackson, NJ 08527
Phone (732) 370-5800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040423000146 NJ Practitioner - Chiropractic 0547256612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2105 W County Line Rd
Suite 7
Jackson, NJ 08527-2301
Phone (732) 370-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3502NEMDCounselor
38MC00350200NJMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Physical Rehabilitation & Therapy , LLC CurrentSince Jan 1, 2003 Accepting new patients

Locations

2105 W County Line Rd
Ste 1
Jackson, NJ 08527
Phone (732) 370-5800

2105 W County Line Rd
Ste 7
Jackson, NJ 08527
Phone (732) 370-5800

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194829507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 W COUNTY LINE RD",
            "address_2": "SUITE #7",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "08527",
            "telephone_number": "732-370-5800",
            "fax_number": "732-370-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 W COUNTY LINE RD",
            "address_2": "SUITE # 7",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272301",
            "telephone_number": "732-370-5800",
            "fax_number": "732-370-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLUCCI",
        "first_name": "JOHN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "NJ",
            "license": "38MC00350200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.