Kim Rahuba Stetzel, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00280200 Issued in NJ

Practice address

10 Newton Ave
Branchville, NJ 07826-5511

Phone

(973) 948-5556

Fax

(973) 948-2535

NPI assigned

Dec 29, 2006

Last updated

Jul 8, 2007By 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, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Branchville Family Chiropractic, LLC

  • Chiropractor
  • Branchville, NJ
  • NPI 1720144926
  Medicare reassignment NPD

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194881391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NEWTON AVE",
            "city": "BRANCHVILLE",
            "state": "NJ",
            "postal_code": "078265511",
            "telephone_number": "973-948-5556",
            "fax_number": "973-948-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NEWTON AVE",
            "city": "BRANCHVILLE",
            "state": "NJ",
            "postal_code": "078265511",
            "telephone_number": "973-948-5556",
            "fax_number": "973-948-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETZEL",
        "first_name": "KIM",
        "middle_name": "RAHUBA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00280200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Harsh Shah, D.M.D.
• Arnold Allen Soldavin, RPH
• Katie Struble, LCSW
• The Suite Tooth, LLC
• Mark Anthony Thogode, D.M.D.
• Turtley Speech LLC
• Willowglen Academy-New Jersey, Inc.

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

• 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.