Active NPI
Fred Kingsbury, D.C.
- Chiropractor
- Bound Brook, NJ
National Provider Identifier
1215334289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00164900
- Practice address
- 18 E Union Ave
Bound Brook, NJ 08805-1700 - Phone
- (732) 563-6737
- Fax
- (732) 560-1526
- NPI assigned
- Nov 19, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00164900 | NJ | Primary |
Addresses
Primary practice location
18 E Union Ave
Bound Brook, NJ 08805-1700
Mailing address
18 E Union Ave
Bound Brook, NJ 08805-1700
Phone (732) 563-6737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00164900 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1215334289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 E UNION AVE",
"city": "BOUND BROOK",
"state": "NJ",
"postal_code": "088051700",
"telephone_number": "732-563-6737",
"fax_number": "732-560-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 E UNION AVE",
"city": "BOUND BROOK",
"state": "NJ",
"postal_code": "088051700",
"telephone_number": "732-563-6737",
"fax_number": "732-560-1526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGSBURY",
"first_name": "FRED",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-19",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00164900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bound Brook, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.