Organization Active NPI

Affiliated Health Professionals PC

  • Chiropractor
  • East Brunswick, NJ
National Provider Identifier
1295728889
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MCO4017 Issued in 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
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Dr. Mark Weinstein, D.C., R.PH.NPI 1073506689
Title
President
Phone
(732) 651-8880

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 MCO4017 NJ Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080721000281 NJ Part B Supplier - Clinic/Group Practice 7517030836 Receives reassigned benefits from 1 practitioner
Practice locations: East Brunswick, NJ

National Provider Directory

National Provider Directory

Locations

4 Cornwall Dr
Ste 204
East Brunswick, NJ 08816
Phone (732) 651-8880

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.