Nicholas Benincasa, DC
Individual provider Active NPI Chiropractor · Wall, NJ
NPI 1336873231 · NPPES record last updated Apr 26, 2023
Key facts
- NPI
- 1336873231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 38MC00792100 (NJ)
- Practice address
- 2440 Rte 34 North
Wall, NJ 08736 - Phone
- (732) 612-9948
- NPI assigned
- Jul 15, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Sports Medicine Group, PC
Practice addresses (Care Compare)
1104 Arnold Ave
Point Pleasant Boro, NJ 08742-2388
Phone 7327140070607
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230725001375 | NJ | Practitioner - Chiropractic | 1850752759 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00792100 | NJ | Yes |
Addresses
Primary practice location
2440 Rte 34 North
Wall, NJ 08736
Mailing address
23 Lilly Dr
Tuckerton, NJ 08087-4009
Phone (084) 334-8149
Other providers in Wall, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.