Individual provider Active NPI

Jared Bornstein, DC MS

  • Nutrition Chiropractor
  • Eatontown, NJ
National Provider Identifier
1215458898
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
38MC00746700 Issued in NJ
Practice address
7 Meridian Rd
Eatontown, NJ 07724-2242
Phone
(732) 935-1000
NPI assigned
Jul 4, 2017
Last updated
Nov 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 38MC00746700 NJ Primary
Sports Physician Chiropractor 111NS0005X 38MC00746700 NJ
Rehabilitation Chiropractor 111NR0400X 38MC00746700 NJ

Addresses

Primary practice location

7 Meridian Rd
Eatontown, NJ 07724-2242

Mailing address

21 Fells Dr
Manalapan, NJ 07726-4153
Phone (908) 907-0746

Other practice location 1

2 Raymond CT
Englishtown, NJ 07726
Phone (908) 907-0746

Other practice location 2

602 Candlewood Cmns
Howell, NJ 07731-2173
Phone (732) 901-3001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171031000363 NJ Practitioner - Chiropractic 8224304670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Health Performance Institute LLCGroup PAC ID 6800286493, 3 clinicians

Practice addresses (Care Compare)

317 Rues Lane
Suite 100
East Brunswick, NJ 08816-3755

317 Rues LN
Suite 100
East Brunswick, NJ 08816-3755
Phone (732) 390-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
38MC00746700NJMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Performance Health Current Accepting new patients
Total Rehabilitation LLC Current Accepting new patients
Old Bridge Spine & Wellness Center,PA Rehabilitation CurrentSince May 19, 2018 Accepting new patients
New Jersey Health Performance Institute LLC CurrentSince Dec 15, 2021 Accepting new patients
Beam Chiropractic Health Center PastSince Jun 7, 2015 Accepting new patients

Locations

317 Rues Ln
East Brunswick, NJ 08816
Phone (732) 390-4496

317 Rues Ln
#100
East Brunswick, NJ 08816
Phone (732) 390-8255

144 State Route 34
Matawan, NJ 07747
Phone (732) 316-5895

Organizations & group practices 5

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": "1499126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1215458898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 FELLS DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077264153",
            "telephone_number": "908-907-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MERIDIAN RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242242",
            "telephone_number": "732-935-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Raymond CT",
            "address_purpose": "LOCATION",
            "city": "Englishtown",
            "state": "NJ",
            "postal_code": "07726",
            "country_code": "US",
            "telephone_number": "908-907-0746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 Candlewood Cmns",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "NJ",
            "postal_code": "077312173",
            "country_code": "US",
            "telephone_number": "732-901-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORNSTEIN",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "DC MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-04",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NJ",
            "license": "38MC00746700",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00746700",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "38MC00746700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.