Individual provider Active NPI

Alan J Wolkoff, DC

  • Chiropractor
  • East Brunswick, NJ
National Provider Identifier
1295823466
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC000405400 Issued in NJ
Practice address
67 West Prospect St
East Brunswick, NJ 08816-2118
Phone
(732) 613-6000
Fax
(732) 613-6007
NPI assigned
Oct 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC000405400 NJ Primary
Chiropractor 111N00000X CH6052 FL

Addresses

Primary practice location

67 West Prospect St
East Brunswick, NJ 08816-2118

Mailing address

67 West Prospect St
East Brunswick, NJ 08816-2118
Phone (732) 613-6000

Other identifiers 2

IdentifierTypeStateIssuer
935690OtherNJAETNA HMO
1037232OtherNJUNITED HEALTH CARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050609000032 NJ Practitioner - Chiropractic 5991748030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corrective Care Group PCGroup PAC ID 3375550601, 2 clinicians

Practice addresses (Care Compare)

67 W Prospect St
East Brunswick, NJ 08816-2183
Phone (732) 613-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH6052FLMDChiropractor
38MC000405400NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Corrective Care Group PC Chiropractor CurrentSince Jan 26, 2006 Accepting new patients
No Tears Dental Center, P.C. Past Accepting new patients

Locations

67 W Prospect St
East Brunswick, NJ 08816
Phone (732) 257-4444

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295823466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 WEST PROSPECT ST",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162118",
            "telephone_number": "732-613-6000",
            "fax_number": "732-613-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 WEST PROSPECT ST",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162118",
            "telephone_number": "732-613-6000",
            "fax_number": "732-613-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLKOFF",
        "first_name": "ALAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC000405400",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6052",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "935690",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1037232",
            "state": "NJ"
        }
    ],
    "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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.