NPIMap

Organization Active NPI

Eastpointe Integrated Healthcare LLC

  • Chiropractor
  • Atlantic Highlands, NJ
National Provider Identifier
1336349331
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EASTPOINTE INTEGRATED HEALTHCARE LLC
Practice address
2373 Highway 36
Atlantic Highlands, NJ 07716-2532
Phone
(732) 872-6595
NPI assigned
Jul 19, 2007
Last updated
Jan 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Dr. John J Mazzella, D.CNPI 1235275074
Title
Member
Phone
(732) 872-6595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

2373 Highway 36
Atlantic Highlands, NJ 07716-2532

Mailing address

2373 Hwy 36
Atlantic Highlands, NJ 07716-2560
Phone (732) 872-6595

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071029000025 NJ Part B Supplier - Clinic/Group Practice 4284721903 Receives reassigned benefits from 17 practitioners
Practice locations: Atlantic Highlands, NJ

National Provider Directory

National Provider Directory

Locations

2397 State Route 36
Atlantic Hlds, NJ 07716
Phone (732) 872-6595

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1336349331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 HWY 36",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077162560",
            "telephone_number": "732-872-6595",
            "fax_number": "732-872-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 HIGHWAY 36",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077162532",
            "telephone_number": "732-872-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTPOINTE INTEGRATED HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "MAZZELLA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-872-6595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic Highlands, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.