Organization Active NPI

Winterbottom Family Chiropractic, LLC

  • Chiropractor
  • Mays Landing, NJ
National Provider Identifier
1285689208
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00567700 Issued in NJ
Legal business name
WINTERBOTTOM FAMILY CHIROPRACTIC, LLC
Practice address
5429 Harding Hwy
Suite 201
Mays Landing, NJ 08330-2203
Phone
(609) 625-2006
Fax
(609) 625-1995
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Chad Winterbottom, D.C.NPI 1336188564
Title
Member
Phone
(609) 625-2006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00567700 NJ Primary

Addresses

Primary practice location

5429 Harding Hwy
Suite 201
Mays Landing, NJ 08330-2203

Mailing address

5429 Harding Hwy
Suite 201
Mays Landing, NJ 08330-2203
Phone (609) 625-2006

Other identifiers 2

IdentifierTypeStateIssuer
2407163000OtherNJAMERIHEALTH
3957923OtherNJAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060807000462 NJ Part B Supplier - Clinic/Group Practice 0042213316 Receives reassigned benefits from 2 practitioners
Practice locations: Mays Landing, NJ

National Provider Directory

National Provider Directory

Locations

5429 Harding Hwy
Ste 201
Mays Landing, NJ 08330
Phone (609) 625-2006

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285689208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 HARDING HWY",
            "address_2": "SUITE 201",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083302203",
            "telephone_number": "609-625-2006",
            "fax_number": "609-625-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5429 HARDING HWY",
            "address_2": "SUITE 201",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083302203",
            "telephone_number": "609-625-2006",
            "fax_number": "609-625-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTERBOTTOM FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINTERBOTTOM",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "609-625-2006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00567700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2407163000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3957923",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mays Landing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.