NPIMap

Organization Active NPI

Integrated Rehabilitation

  • Chiropractor
  • Brick, NJ
National Provider Identifier
1295887743
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
02328 Issued in NJ
Legal business name
INTEGRATED REHABILITATION
Practice address
1451 Route 88
Suite 5
Brick, NJ 08724-2371
Phone
(732) 458-7251
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert J. Heerema, D.C.NPI 1063430999
Title
Owner
Phone
(732) 458-7251

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X 02328 NJ Primary

Addresses

Primary practice location

1451 Route 88
Suite 5
Brick, NJ 08724-2371

Mailing address

1451 Route 88
Suite 5
Brick, NJ 08724-2371
Phone (732) 458-7251

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051115000446 NJ Part B Supplier - Clinic/Group Practice 8325067085 Receives reassigned benefits from 1 practitioner
Practice locations: Brick, NJ

National Provider Directory

National Provider Directory

Locations

1466 Route 88 W
Ste F
Brick, NJ 08724
Phone (732) 458-7251

1451 Route 88 W
Ste 5B
Brick, NJ 08724
Phone (732) 458-7251

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295887743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 ROUTE 88",
            "address_2": "SUITE 5",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242371",
            "telephone_number": "732-458-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 ROUTE 88",
            "address_2": "SUITE 5",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242371",
            "telephone_number": "732-458-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEEREMA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-458-7251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "02328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.