Organization Active NPI

Howard B. Kook, D.C., P.C.

  • Chiropractor
  • Maplewood, NJ
National Provider Identifier
1225388754
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HOWARD B. KOOK, D.C., P.C.
Practice address
1955 Springfield Ave
Suite 104
Maplewood, NJ 07040-3441
Phone
(973) 762-2526
Fax
(973) 762-1713
NPI assigned
Sep 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Cathy Seater
Title
Office Manager
Phone
(973) 762-2526

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary
Medical Specialty Clinic/Center 261QM2500X 38MC0288000 NJ

Addresses

Primary practice location

1955 Springfield Ave
Suite 104
Maplewood, NJ 07040-3441

Mailing address

1955 Springfield Ave
Suite 104
Maplewood, NJ 07040-3441
Phone (973) 762-2526

Other identifiers 1

IdentifierTypeStateIssuer
8764603MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121211000453 NJ Part B Supplier - Clinic/Group Practice 4284886680 Receives reassigned benefits from 1 practitioner
Practice locations: Maplewood, NJ

National Provider Directory

National Provider Directory

Locations

1955 Springfield Ave
Ste 104
Maplewood, NJ 07040
Phone (973) 762-2526

Practitioners & affiliated clinicians

Practitioners 1

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": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1225388754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 SPRINGFIELD AVE",
            "address_2": "SUITE 104",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403441",
            "telephone_number": "973-762-2526",
            "fax_number": "973-762-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 SPRINGFIELD AVE",
            "address_2": "SUITE 104",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403441",
            "telephone_number": "973-762-2526",
            "fax_number": "973-762-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD B. KOOK, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "SEATER",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-762-2526"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "38MC0288000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8764603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.