Affiliated Health Professionals PC
Organization Active NPI Chiropractor · East Brunswick, NJ
NPI 1295728889 · NPPES record last updated Jul 14, 2008
Key facts
- NPI
- 1295728889
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- MCO4017 (NJ)
- Legal business name
- AFFILIATED HEALTH PROFESSIONALS PC
- Practice address
- 4 Cornwall Dr
Suite #204
East Brunswick, NJ 08816-3332 - Phone
- (732) 651-8880
- Fax
- (732) 651-0999
- NPI assigned
- Aug 29, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark Weinstein, D.C., R.PH.
- Title
- President
- Phone
- (732) 651-8880
Practitioners 1
-
Mark Weinstein, D.C., R.PH.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080721000281 | NJ | Part B Supplier - Clinic/Group Practice | 7517030836 |
Receives reassigned benefits from 1 practitioner Practice locations: East Brunswick, NJ |
National Provider Directory
Locations
4 Cornwall Dr
Ste 204
East Brunswick, NJ 08816
Phone (732) 651-8880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | MCO4017 | NJ | Yes |
Addresses
Primary practice location
4 Cornwall Dr
Suite #204
East Brunswick, NJ 08816-3332
Mailing address
4 Cornwall Dr
Suite #204
East Brunswick, NJ 08816-3332
Phone (732) 651-8880
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007256 | Other | MEDICARE ID- UNSPECIFIED |
NPI Registry JSON
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215993600000",
"number": "1295728889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CORNWALL DR",
"address_2": "SUITE #204",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163332",
"telephone_number": "732-651-8880",
"fax_number": "732-651-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CORNWALL DR",
"address_2": "SUITE #204",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163332",
"telephone_number": "732-651-8880",
"fax_number": "732-651-0999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFILIATED HEALTH PROFESSIONALS PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-29",
"last_updated": "2008-07-14",
"status": "A",
"authorized_official_last_name": "WEINSTEIN",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-651-8880",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C., R.PH."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NJ",
"license": "MCO4017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID- UNSPECIFIED",
"identifier": "007256",
"state": null
}
],
"endpoints": [],
"other_names": []
}
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All providers in East Brunswick, NJ · Chiropractor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.