Active NPI
Nicholas Benincasa, DC
- Chiropractor
- Wall, NJ
National Provider Identifier
1336873231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00792100
- Practice address
- 2440 Rte 34 North
Wall, NJ 08736 - Phone
- (732) 612-9948
- NPI assigned
- Jul 15, 2022
- Last updated
- Apr 26, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00792100 | NJ | Primary |
Addresses
Primary practice location
2440 Rte 34 North
Wall, NJ 08736
Mailing address
23 Lilly Dr
Tuckerton, NJ 08087-4009
Phone (084) 334-8149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1104 Arnold Ave
Point Pleasant Boro, NJ 08742-2388
Phone 7327140070607
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00792100 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Surgery Associates LLC | Current | Accepting new patients |
Locations
2440 Route 34
Manasquan, NJ 08736
Phone (732) 612-9948
Organizations & group practices 2
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Point Pleasant Boro, NJ
- NPI 1811010549
-
- Orthopaedic Surgery Physician
- Manasquan, NJ
- NPI 1356929632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1336873231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 LILLY DR",
"city": "TUCKERTON",
"state": "NJ",
"postal_code": "080874009",
"telephone_number": "084-334-8149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 RTE 34 NORTH",
"city": "WALL",
"state": "NJ",
"postal_code": "08736",
"telephone_number": "732-612-9948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENINCASA",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-15",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00792100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wall, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.