Courtney Rene Centrelli-Tischner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00670600 Issued in NJ

Practice address

1 Highland Ave
Green Township, NJ 07821-2201

Phone

(973) 800-6279

NPI assigned

Dec 12, 2008

Last updated

Jun 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Fit and Centered LLC

  • Clinic/Center
  • Green Township, NJ
  • NPI 1881170579
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1225273741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HIGHLAND AVE",
            "city": "GREEN TOWNSHIP",
            "state": "NJ",
            "postal_code": "078212201",
            "telephone_number": "973-800-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HIGHLAND AVE",
            "city": "GREEN TOWNSHIP",
            "state": "NJ",
            "postal_code": "078212201",
            "telephone_number": "973-800-6279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 Main St",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "NJ",
            "postal_code": "07930",
            "country_code": "US",
            "telephone_number": "732-798-0175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "580 Allen Rd",
            "address_purpose": "LOCATION",
            "city": "Basking Ridge",
            "state": "NJ",
            "postal_code": "079202984",
            "country_code": "US",
            "telephone_number": "732-798-0175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 Baker St Apt A",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "NJ",
            "postal_code": "070402693",
            "country_code": "US",
            "telephone_number": "973-800-6279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CENTRELLI-TISCHNER",
        "first_name": "COURTNEY",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00670600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Sergio Cuello
• Fit and Centered LLC
• Ashley B Jaya
• Albert Kwimi, NURSE PRACTITIONER

• Chiropractor in Green Township, NJ
• Providers in Green Township, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.