Optimum Chiropractic LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

OPTIMUM CHIROPRACTIC LLC

Doing business as

Optimum Chiropractic

Practice address

749 Hope Rd Ste a
Eatontown, NJ 07724-1433

Phone

(502) 724-0263

NPI assigned

Aug 31, 2020

Last updated

Jan 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher SullivanNPI 1952706442

Title

Owner

Phone

(502) 724-0263

Specialties & licenses 1

Addresses

Other names 1

• Optimum Chiropractic Doing business as

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, and the practitioner matching its NPPES authorized official.

• Christopher Douglas Sullivan, D.C.

  • Chiropractor
  • Ocean, NJ
  • NPI 1952706442
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1346854197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 RAYMERE AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124111",
            "telephone_number": "502-724-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 HOPE RD STE A",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241433",
            "telephone_number": "502-724-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-724-0263",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optimum Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Swati Sunil Ojha
• Ty James Olson, MD
• Om Mamas Doulas, LLC
• Matthew Benedict Ona, APN
• Vivian Onuro, MD
• Option Care Enterprises, Inc. (Option Care)
• Option Care Enterprises, Inc. (Option Care)
• Optometric Physicians of Eatontown LLC (EyesFirst Vision Center)
• Optometric Physicians of Middletown PA (Clarkson Eyecare)
• Optum Medical Care of New Jersey PC (Riverside Medical Group)

• Sports Physician Chiropractor in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.