Jennifer M Fresh, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00599500 Issued in NJ

Practice address

6 Shore Rd
Linwood, NJ 08221-2500

Phone

(609) 926-8900

Fax

(609) 926-8989

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer M Walley Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

God and Fresh LLCGroup PAC ID 3577828813, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• God and Fresh, LLC

  • Chiropractor
  • Linwood, NJ
  • NPI 1225150204
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1215968623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SHORE RD",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212500",
            "telephone_number": "609-926-8900",
            "fax_number": "609-926-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SHORE RD",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212500",
            "telephone_number": "609-926-8900",
            "fax_number": "609-926-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRESH",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01040",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00599500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WALLEY",
            "middle_name": "M",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Sing Flynn
• Noel Forrestel, MSW, LSW, LCADC
• Barbara Lynn Francesco, ADVANCED PRACTICE NU
• Victor Robert Frankel, M.D.
• Debra Freed
• John P Fresh, D.C.
• Freund Brothers
• William H. Freund
• Frontline Behavioral Health, LLC
• Jennifer A Gallas, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.