Active NPI
Matthew Kreiger, DC
- Chiropractor
- Holmdel, NJ
National Provider Identifier
1215979026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC005788
- Practice address
- 2145 Highway 35
Kohls Plaza
Holmdel, NJ 07733-1164 - Phone
- (732) 615-7402
- Fax
- (732) 640-5326
- NPI assigned
- Jun 13, 2006
- 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 | MC005788 | NJ | Primary |
Addresses
Primary practice location
2145 Highway 35
Kohls Plaza
Holmdel, NJ 07733-1164
Mailing address
15 West Aspen Way
Aberdeen, NJ 07747
Phone (732) 615-7402
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC005788 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Health LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Sports Physician Chiropractor
- Aberdeen, NJ
- NPI 1740441872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1215979026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 WEST ASPEN WAY",
"city": "ABERDEEN",
"state": "NJ",
"postal_code": "07747",
"telephone_number": "732-615-7402",
"fax_number": "732-640-5326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2145 HIGHWAY 35",
"address_2": "KOHLS PLAZA",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331164",
"telephone_number": "732-615-7402",
"fax_number": "732-640-5326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREIGER",
"first_name": "MATTHEW",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC005788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holmdel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.