Individual provider Active NPI

Jodi Lynette Kinney, D.C.

  • Chiropractor
  • Jackson, NJ
National Provider Identifier
1194939827
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00571800 Issued in NJ
Practice address
100 W Veterans Hwy
Suite 7
Jackson, NJ 08527-3435
Phone
(732) 833-9000
Fax
(732) 833-9932
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00571800 NJ Primary

Addresses

Primary practice location

100 W Veterans Hwy
Suite 7
Jackson, NJ 08527-3435

Mailing address

100 W Veterans Hwy
Suite 7
Jackson, NJ 08527-3435
Phone (732) 833-9000

Other identifiers 1

IdentifierTypeStateIssuer
371425018OtherNJTAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121107000146 NJ Practitioner - Chiropractic 1153572821 Practice locations: Jackson, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 W Veterans Hwy
Suite 7
Jackson, NJ 08527-3435
Phone (732) 833-9000

100W Veterans Hwy
Suite 7
Jackson, NJ 08527-3435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intrinsic Chiropractic Center Chiropractor PastSince Feb 5, 2002 Accepting new patients
Intrinsic Chiropractic Center Chiropractor PastSince Feb 5, 2002 Accepting new patients

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1194939827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W VETERANS HWY",
            "address_2": "SUITE 7",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273435",
            "telephone_number": "732-833-9000",
            "fax_number": "732-833-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W VETERANS HWY",
            "address_2": "SUITE 7",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273435",
            "telephone_number": "732-833-9000",
            "fax_number": "732-833-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "JODI",
        "middle_name": "LYNETTE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00571800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "371425018",
            "state": "NJ"
        }
    ],
    "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 Nov 13, 2018; 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.