Individual provider Active NPI

Robert O'Brien, DC

  • Chiropractor
  • Stratford, NJ
National Provider Identifier
1255368981
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00451100 Issued in NJ
Practice address
321 Yale Ave Ste a
Stratford, NJ 08084-1247
Phone
(856) 782-7500
Fax
(856) 782-0075
NPI assigned
Jun 27, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00451100 NJ Primary

Addresses

Primary practice location

321 Yale Ave Ste a
Stratford, NJ 08084-1247

Mailing address

321 Yale Ave Ste a
Stratford, NJ 08084-1247
Phone (856) 782-7500

Other practice location 1

215 Laurel Rd E
suite 203
Stratford, NJ 08084-1361
Phone (856) 782-7500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610000739 NJ Practitioner - Chiropractic 8820071871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

321 Yale Ave
Suite a
Stratford, NJ 08084-1247
Phone (856) 782-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stratford Center for Spinal Health, LLC Chiropractor CurrentSince Sep 1, 2018 Accepting new patients
Dr. Robert O'Brien Chiropractor CurrentSince Jun 1, 1997 Accepting new patients

Locations

215 E Laurel Rd
Ste 203
Stratford, NJ 08084
Phone (609) 782-7500

321 Yale Ave
Ste A
Stratford, NJ 08084
Phone (856) 782-7500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255368981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 YALE AVE STE A",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841247",
            "telephone_number": "856-782-7500",
            "fax_number": "856-782-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 YALE AVE STE A",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841247",
            "telephone_number": "856-782-7500",
            "fax_number": "856-782-0075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Laurel Rd E",
            "address_2": "suite 203",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841361",
            "country_code": "US",
            "telephone_number": "856-782-7500",
            "fax_number": "856-782-0075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "ROBERT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00451100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.