Individual provider Active NPI

John P Fresh, D.C.

  • Chiropractor
  • Linwood, NJ
National Provider Identifier
1306935796
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00599600 Issued in NJ
Practice address
6 Shore Rd
Linwood, NJ 08221-2500
Phone
(609) 926-8900
Fax
(609) 926-8989
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B01001 NV
Chiropractor 111N00000X 38MC00599600 NJ Primary

Addresses

Primary practice location

6 Shore Rd
Linwood, NJ 08221-2500

Mailing address

6 Shore Rd
Linwood, NJ 08221-2500
Phone (609) 926-8900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180302001280 NJ Practitioner - Chiropractic 0648240275 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millville Chiropractic CenterGroup PAC ID 9537114434, 3 clinicians
God and Fresh LLCGroup PAC ID 3577828813, 2 clinicians

Practice addresses (Care Compare)

1014 N High St
Millville, NJ 08332-2527
Phone (856) 327-0320

6 Shore Rd
Suite B
Linwood, NJ 08221-2500
Phone (609) 926-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00599600NJMDChiropractor
B01001NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Millville Chiropractic Center Chiropractor CurrentSince Oct 10, 2017 Accepting new patients
God and Fresh Family Chiropractic Chiropractor Past Accepting new patients

Locations

1014 High St N
Millville, NJ 08332
Phone (856) 327-0320

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1306935796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SHORE RD",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212500",
            "telephone_number": "609-926-8900",
            "fax_number": "609-926-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SHORE RD",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212500",
            "telephone_number": "609-926-8900",
            "fax_number": "609-926-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRESH",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01001",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00599600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.