Organization Active NPI

Central Jersey Rehab Associates P.C.

  • Chiropractor
  • Freehold, NJ
National Provider Identifier
1245423235
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC04442 Issued in NJ
Legal business name
CENTRAL JERSEY REHAB ASSOCIATES P.C.
Practice address
100 Professional View Drive
Suite 103
Freehold, NJ 07728-2526
Phone
(732) 431-6674
Fax
(732) 780-3752
NPI assigned
Aug 22, 2007
Last updated
Jul 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Dr. Richard Ryan, DCNPI 1396754966
Title
Chiropractor
Phone
(732) 431-6674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC04442 NJ Primary

Addresses

Primary practice location

100 Professional View Drive
Suite 103
Freehold, NJ 07728-2526

Mailing address

100 Professional View Drive
Suite 103
Freehold, NJ 07728-2526
Phone (732) 431-6674

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1245423235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PROFESSIONAL VIEW DRIVE",
            "address_2": "SUITE 103",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282526",
            "telephone_number": "732-431-6674",
            "fax_number": "732-780-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PROFESSIONAL VIEW DRIVE",
            "address_2": "SUITE 103",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282526",
            "telephone_number": "732-431-6674",
            "fax_number": "732-780-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL JERSEY REHAB ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "732-431-6674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.