David Srulevich, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MP99056050 Issued in NJ

Practice address

11 Red Coach LN
Holmdel, NJ 07733-1138

Phone

(917) 776-9050

NPI assigned

Oct 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aaa Screening Inc

  • Health Service Clinic/Center
  • Brooklyn, NY
  • NPI 1306047303
  NPD (past) Authorized official

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1346438470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RED COACH LN",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331138",
            "telephone_number": "917-776-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RED COACH LN",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331138",
            "telephone_number": "917-776-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRULEVICH",
        "first_name": "DAVID",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MP99056050",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007940",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soulful Speech LLC
• Gregory Sousa, DPT
• Spare Pair IV
• James Michael Spitalny, ED.D.
• Srinivas Pavuluri, MD, PA
• Melinda J Staiger, MD
• Candace Stefflre, MASSAGE THERAPIST
• Jason I Steinfeld, MD
• Stephen J. Loihle
• Jean Marie Stoerger, PHARM.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.