Active NPI
Malynn Theresa Drake, D.C.
- Chiropractor
- Edison, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00738900
- Practice address
- 72 Route 27
Edison, NJ 08820-3986 - Phone
- (732) 662-9901
- Fax
- (732) 662-9904
- NPI assigned
- Oct 21, 2009
- Last updated
- Feb 22, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-31279 | CA | |
| Chiropractor | 111N00000X | 38MC00738900 | NJ | Primary |
Addresses
Primary practice location
72 Route 27
Edison, NJ 08820-3986
Mailing address
72 Route 27
Edison, NJ 08820-3986
Phone (732) 662-9901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38MC00738900 | Other | NJ | LICENSE NUMBER |
Other names 1
- Dr. Mindy Drake
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1100 Beaver Dam Rd
PT Pleasant, NJ 08742-4402
Phone (732) 892-2900
654 Newman Springs Rd
Suite F
Lincroft, NJ 07738-1744
Phone (732) 747-0390
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-31279 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monmouth Pain and Rehabilitation PC | Chiropractor | Current | Accepting new patients |
| Monmouth Pain and Rehabiliation PC | Chiropractor | Current | Accepting new patients |
| Levante Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Eastpointe Integrated Healthcare LLC | Chiropractor | Current | Accepting new patients |
| Westfield Health & Rehabilitation, LLC | Chiropractor | Current | Accepting new patients |
| White Chiropractic Health Center Incorporated | Chiropractor | Current | Accepting new patients |
| Atlantic Back and Body Clinic LLC | Chiropractor | Past | Accepting new patients |
| Recover Pro Medical & Wellness | Chiropractor | Past | Accepting new patients |
Locations
2373 Highway 36
Atlantic Hlds, NJ 07716
Phone (732) 872-6595
654 Newman Springs Rd
Ste F
Lincroft, NJ 07738
1100 Beaver Dam Rd
Point Pleasant Boro, NJ 08742
Phone (732) 892-2900
3100 State Route 138
Ste 3
Wall Township, NJ 07719
Phone (732) 280-9500
222 North Ave W
Ste 1
Westfield, NJ 07090
Phone (908) 928-1000
Organizations & group practices 8
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.
-
- Chiropractor
- Lincroft, NJ
- NPI 1336007350
-
- Chiropractor
- Atlantic Highlands, NJ
- NPI 1336349331
-
- Chiropractor
- Red Bank, NJ
- NPI 1073699385
-
- Chiropractor
- Brick, NJ
- NPI 1588736250
-
- Chiropractor
- Hamilton, NJ
- NPI 1336698349
-
- Chiropractor
- Shrewsbury, NJ
- NPI 1255874632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1235465576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 ROUTE 27",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203986",
"telephone_number": "732-662-9901",
"fax_number": "732-662-9904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 ROUTE 27",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203986",
"telephone_number": "732-662-9901",
"fax_number": "732-662-9904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "MALYNN",
"middle_name": "THERESA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-21",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC-31279",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00738900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "38MC00738900",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MINDY",
"last_name": "DRAKE",
"prefix": "DR.",
"credential": "D.C.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.