Individual provider Active NPI

Theodore Steven Biniaris, D.C.

  • Chiropractor
  • Mountainside, NJ
National Provider Identifier
1316094394
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00513600 Issued in NJ
Practice address
605 Sherwood Pkwy
Mountainside, NJ 07092-2518
Phone
(908) 233-5144
Fax
(908) 233-7144
NPI assigned
Jan 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00513600 NJ Primary

Addresses

Primary practice location

605 Sherwood Pkwy
Mountainside, NJ 07092-2518

Mailing address

605 Sherwood Pkwy
Mountainside, NJ 07092-2518
Phone (908) 233-5144

Other identifiers 1

IdentifierTypeStateIssuer
81-0666235-000OtherEIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050414000140 NJ Practitioner - Chiropractic 2163469859 Practice locations: Mountainside, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

605 Sherwood Pkwy
Mountainside, NJ 07092-2518
Phone (908) 233-5144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316094394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SHERWOOD PKWY",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922518",
            "telephone_number": "908-233-5144",
            "fax_number": "908-233-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 SHERWOOD PKWY",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922518",
            "telephone_number": "908-233-5144",
            "fax_number": "908-233-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINIARIS",
        "first_name": "THEODORE",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00513600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EIN",
            "identifier": "81-0666235-000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountainside, 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.