Individual provider Active NPI

Neil I Kosin, DC

  • Chiropractor
  • Freehold, NJ
National Provider Identifier
1316991771
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC0424100 Issued in NJ
Practice address
25 Broad St
Space 10
Freehold, NJ 07728-1901
Phone
(732) 409-7774
Fax
(732) 409-2683
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 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 38MC0424100 NJ Primary

Addresses

Primary practice location

25 Broad St
Space 10
Freehold, NJ 07728-1901

Mailing address

PO Box 794
Freehold, NJ 07728-0794
Phone (732) 409-7774

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080807000279 NJ Practitioner - Chiropractic 3072687144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brunswick Chiropractic Center of NJ LLCGroup PAC ID 6002075231, 2 clinicians

Practice addresses (Care Compare)

1594 Rte
Suite 130
North Brunswick, NJ 08902-3040
Phone (908) 753-5454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC0424100NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brunswick Chiropractic Center of NJ LLC Chiropractor CurrentSince Jan 22, 2012 Accepting new patients

Locations

1594 US Highway 130
North Brunswick, NJ 08902
Phone (732) 821-5900

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1316991771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 794",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077280794",
            "telephone_number": "732-409-7774",
            "fax_number": "732-409-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BROAD ST",
            "address_2": "SPACE 10",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281901",
            "telephone_number": "732-409-7774",
            "fax_number": "732-409-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSIN",
        "first_name": "NEIL",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC0424100",
            "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 Jul 31, 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.