Individual provider Active NPI

Michael Fox, DC

  • Chiropractor
  • Hainesport, NJ
National Provider Identifier
1285255737
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00770100 Issued in NJ
Practice address
2717 Marne Hwy
Hainesport, NJ 08036-2892
Phone
(609) 267-5550
NPI assigned
May 6, 2020
Last updated
May 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00770100 NJ Primary

Addresses

Primary practice location

2717 Marne Hwy
Hainesport, NJ 08036-2892

Mailing address

2717 Marne Hwy
Hainesport, NJ 08036-2892
Phone (609) 267-5550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201021000940 NJ Practitioner - Chiropractic 8729408331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2717 Marne Hwy
Hainesport, NJ 08036-2892
Phone (609) 267-5550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00770100NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hainesport Chiropractic LLC Chiropractor CurrentSince Oct 1, 2020 Accepting new patients
Hainesport Chiropractic PA Chiropractor PastSince May 10, 2020 Accepting new patients

Locations

941 White Horse Ave
Ste 3
Hamilton, NJ 08610
Phone (609) 581-2222

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": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1285255737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 MARNE HWY",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362892",
            "telephone_number": "609-267-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 MARNE HWY",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362892",
            "telephone_number": "609-267-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00770100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hainesport, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.