Kurt R Lundberg, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00391600 Issued in NJ

Practice address

330 Livingston Ave
3Rd Floor
New Brunswick, NJ 08901-3469

Phone

(732) 246-4226

Fax

(732) 246-4721

NPI assigned

Nov 17, 2006

Sex

Male

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back to Wellness Chiropractic LLCGroup PAC ID 9133474471, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Back to Wellness Chiropractic, LLC

  • Chiropractor
  • North Brunswick, NJ
  • NPI 1902234560
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245304955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7340",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089027340",
            "telephone_number": "908-510-3190",
            "fax_number": "732-246-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LIVINGSTON AVE",
            "address_2": "3RD FLOOR",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089013469",
            "telephone_number": "732-246-4226",
            "fax_number": "732-246-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDBERG",
        "first_name": "KURT",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00391600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annika Lindgren Lucarelli, D.D.S.
• Michael Lucas, M.D.
• Thomas Lucido
• James Thomas Luckey III, M.D.
• Stefanie Luna, MSW, LSW
• Sarah Lundy, LSW
• Hongxiu Luo, MD
• Eliyahu Lustiger, M.D.
• Emily Luvison, MD
• Anne Elizabeth Lyle, MSN, APN, RN,CPNP-AC

• Chiropractor in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.