Center Street Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00434500 Issued in NJ

Legal business name

CENTER STREET CHIROPRACTIC LLC

Practice address

552 Main St
Chatham, NJ 07928-2120

Phone

(973) 635-3100

Fax

(973) 635-3109

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kevin D Drumbore, DCNPI 1366555906

Title

Owner

Phone

(973) 635-3100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin David Drumbore, DC

  • Chiropractor
  • Chatham, NJ
  • NPI 1366555906
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1336249267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 MAIN ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282120",
            "telephone_number": "973-635-3100",
            "fax_number": "973-635-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 MAIN ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282120",
            "telephone_number": "973-635-3100",
            "fax_number": "973-635-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER STREET CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "DRUMBORE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-635-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00434500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda J. Carpenito, NP
• Isabella Carvalho
• Caryn Miller,D.M.D LLC
• Beth G. Casola, P.T. M.A.
• Matthew P Cassells, PHYSICIAN ASSISTANT
• Suzanne Chang, LAC
• Chatham Borough
• Chatham Chiropractic Center
• Chatham Dental Boutique
• Chatham Dental Studio

• Chiropractor in Chatham, NJ
• Providers in Chatham, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.