Individual provider Active NPI

Brian J Schubel, D.C.

  • Chiropractor
  • Freehold, NJ
National Provider Identifier
1316127863
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC005193 Issued in NJ
Practice address
500 W Main St
Freehold, NJ 07728-2500
Phone
(732) 462-5400
Fax
(732) 409-0279
NPI assigned
Nov 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC005193 NJ Primary

Addresses

Primary practice location

500 W Main St
Freehold, NJ 07728-2500

Mailing address

500 W Main St
Freehold, NJ 07728-2500
Phone (732) 462-5400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080103000092 NJ Practitioner - Chiropractic 9133209109 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

500 W Main St
Freehold, NJ 07728-2500
Phone (732) 462-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC005193NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Schubel Chiropractic P C Chiropractor CurrentSince Sep 1, 1997 Accepting new patients

Locations

500 W Main St
Freehold, NJ 07728
Phone (732) 462-8707

Organizations & group practices 1

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": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1316127863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282500",
            "telephone_number": "732-462-5400",
            "fax_number": "732-409-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282500",
            "telephone_number": "732-462-5400",
            "fax_number": "732-409-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUBEL",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC005193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.