Forked River Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FORKED RIVER CHIROPRACTIC CENTER

Practice address

900 Newark Ave
Forked River, NJ 08731-1012

Phone

(609) 604-6005

NPI assigned

Sep 16, 2022

Last updated

Oct 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Paluk, DCNPI 1104551449

Title

Chiropractor/Owner

Phone

(609) 489-1042

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• John William Paluk, DC

  • Chiropractor
  • Forked River, NJ
  • NPI 1104551449
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1295457109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1578 CLAIR RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087313400",
            "telephone_number": "609-489-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NEWARK AVE",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311012",
            "telephone_number": "609-604-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORKED RIVER CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "PALUK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "609-489-1042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Chirotouch",
            "affiliation": "N",
            "endpointDescription": "cloud based",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "900 Newark Ave",
            "city": "Forked River",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087311012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rita A Ferrara, MSW LCSW
• Stephanie Ferrara, C.R.N.P.
• Ryanne Fetzer, MS-CCC
• Steven William Floros, DC
• Foot and Ankle Centre
• Forked River Medical Specialists, P.a.
• Forked River Pharmacy
• Forked River RX, LLC (medicine to go pharmacies)
• Forked River RX, LLC (medicine to go pharmacies)
• Forked River RX, LLC (Medicine to Go Pharmacies)

• Chiropractor in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.