Organization Active NPI

Advanced Family Chiropractic

  • Chiropractor
  • Colonia, NJ
National Provider Identifier
1326289489
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC04763 Issued in NJ
Legal business name
ADVANCED FAMILY CHIROPRACTIC
Practice address
622 Inman Ave
Colonia, NJ 07067-1000
Phone
(732) 499-9191
Fax
(732) 499-8618
NPI assigned
Mar 18, 2009
Last updated
May 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Dr. Emma L Yepez, DC
Title
President
Phone
(732) 499-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC04763 NJ Primary

Addresses

Primary practice location

622 Inman Ave
Colonia, NJ 07067-1000

Mailing address

35 Jeffery Rd
Colonia, NJ 07067-2413
Phone (732) 499-9191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120316000053 NJ Part B Supplier - Clinic/Group Practice 4880853589 Receives reassigned benefits from 1 practitioner
Practice locations: Colonia, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1326289489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JEFFERY RD",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070672413",
            "telephone_number": "732-499-9191",
            "fax_number": "732-499-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 INMAN AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070671000",
            "telephone_number": "732-499-9191",
            "fax_number": "732-499-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "YEPEZ",
        "authorized_official_first_name": "EMMA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-499-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonia, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.