Atlantic Brigantine Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC02443 Issued in NJ

Legal business name

ATLANTIC BRIGANTINE CHIROPRACTIC

Practice address

3005 Revere Blvd
Brigantine, NJ 08203-1797

Phone

(609) 266-5555

Fax

(609) 266-5453

NPI assigned

Oct 17, 2007

Last updated

Oct 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Polillo

Title

Office Manager

Phone

(609) 266-5555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael A Fernandez, DC

  • Chiropractor
  • Mays Landing, NJ
  • NPI 1740229590
  Medicare reassignment NPD
• Jun C. Huang, M.D., PHD

  • Ophthalmology Physician
  • Linwood, NJ
  • NPI 1700838166
  NPD (past)
• Christopher Francis Stuart, DC

  • Chiropractor
  • Mays Landing, NJ
  • NPI 1477613974
  NPD (past)

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1194914952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 REVERE BLVD",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082031797",
            "telephone_number": "609-266-5555",
            "fax_number": "609-266-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 REVERE BLVD",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082031797",
            "telephone_number": "609-266-5555",
            "fax_number": "609-266-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC BRIGANTINE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "POLILLO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "609-266-5555"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC02443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Guy Amalfitano, DPT, ATC
• Atwater Inc
• Back to Function Home Physical Therapy LLC
• Becker Nutrition LLC
• Michael E Becker, RD
• Board of Education City of Brigantine

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.