Individual provider Active NPI

Todd Carnucci, D.C.

  • Chiropractor
  • Westfield, NJ
National Provider Identifier
1326171992
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00568900 Issued in NJ
Practice address
222 North Ave W
Westfield, NJ 07090-1495
Phone
(908) 928-1000
Fax
(908) 928-1001
NPI assigned
Mar 13, 2007
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00568900 NJ Primary

Addresses

Primary practice location

222 North Ave W
Westfield, NJ 07090-1495

Mailing address

222 North Ave W
Westfield, NJ 07090-1495
Phone (908) 928-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080811000391 NJ Practitioner - Chiropractic 6507892791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westfield Health and Rehabilitation, LLCGroup PAC ID 1153365457, 3 clinicians

Practice addresses (Care Compare)

222 N Ave W
Suite 1
Westfield, NJ 07090-1495
Phone (908) 928-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00568900NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Westfield Health & Rehabilitation, LLC Chiropractor CurrentSince Aug 1, 2002 Accepting new patients

Locations

222 North Ave W
Westfield, NJ 07090
Phone (201) 688-7200

222 North Ave W
Ste 1
Westfield, NJ 07090
Phone (908) 928-1000

226 North Ave W
Westfield, NJ 07090
Phone (908) 928-1000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1326171992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 NORTH AVE W",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901495",
            "telephone_number": "908-928-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 NORTH AVE W",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901495",
            "telephone_number": "908-928-1000",
            "fax_number": "908-928-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNUCCI",
        "first_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00568900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.