Organization Active NPI

God and Fresh, LLC

Doing business as Fresh Start Chiropractic

  • Chiropractor
  • Linwood, NJ
National Provider Identifier
1225150204
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GOD AND FRESH, LLC
Doing business as
Fresh Start Chiropractic
Practice address
6 Shore Rd
Linwood, NJ 08221-2500
Phone
(609) 926-8900
Fax
(609) 926-8989
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Jennifer M Fresh, DCNPI 1215968623
Title
Owner
Phone
(609) 926-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

6 Shore Rd
Linwood, NJ 08221-2500

Mailing address

6 Shore Rd
Linwood, NJ 08221-2500
Phone (609) 926-8900

Other names 1

  • Fresh Start Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180607001052 NJ Part B Supplier - Clinic/Group Practice 3577828813 Receives reassigned benefits from 2 practitioners
Practice locations: Linwood, NJ

National Provider Directory

National Provider Directory

Locations

6 Shore Rd
Ste B
Linwood, NJ 08221
Phone (609) 926-8900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1225150204",
    "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": {
        "organization_name": "GOD AND FRESH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "FRESH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-926-8900",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Start Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Linwood, NJ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.