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. NPI 1073506689
Title
President
Phone
(732) 651-8880

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

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

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

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
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

IdentifierTypeStateIssuer
007256OtherMEDICARE ID- UNSPECIFIED

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 14, 2008.

{
    "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": []
}

Other providers in East Brunswick, NJ

All providers in East Brunswick, NJ · Chiropractor in New Jersey

Sources for this page

Verify at the official NPI Registry.