Active NPI
Perth Amboy Chiropractic Health Center, P.a.
- Chiropractor
- Perth Amboy, NJ
National Provider Identifier
1235400672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00335600
- Legal business name
- PERTH AMBOY CHIROPRACTIC HEALTH CENTER, P.A.
- Practice address
- 613 Amboy Ave
Perth Amboy, NJ 08861-2645 - Phone
- (732) 442-5552
- Fax
- (732) 324-0069
- NPI assigned
- Jan 17, 2012
- Last updated
- Jan 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James C Wolff, D.C.
- Title
- Director
- Phone
- (732) 442-5552
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00335600 | NJ | Primary |
Addresses
Primary practice location
613 Amboy Ave
Perth Amboy, NJ 08861-2645
Mailing address
613 Amboy Ave
Perth Amboy, NJ 08861-2645
Phone (732) 442-5552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3331300 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
613 Amboy Ave
Perth Amboy, NJ 08861
Phone (732) 442-5552
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Perth Amboy, NJ
- NPI 1891761375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326758400000",
"number": "1235400672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 AMBOY AVE",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088612645",
"telephone_number": "732-442-5552",
"fax_number": "732-324-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 AMBOY AVE",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088612645",
"telephone_number": "732-442-5552",
"fax_number": "732-324-0069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERTH AMBOY CHIROPRACTIC HEALTH CENTER, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-17",
"last_updated": "2012-01-17",
"status": "A",
"authorized_official_last_name": "WOLFF",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "732-442-5552",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00335600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3331300",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Perth Amboy, NJ
- Laura Camila Pedraza- Arevalo
- Isabel Peixoto
- Linda Peloquin, RN
- Marisol A Pena, RPSGT
- Perth Amboy Anesthesiology PC
- Perth Amboy Health Care L.L.C.
- Perth Amboy Physical Therapy & Sports Medicine Center
- Perth Amboy Physical Therapy and Wellness
- Perth Amboy Public Schools
- Perth Amboy Spine and Joint Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.