Individual provider Active NPI

Elaine Asyah Aquil, D.C.

  • Chiropractor
  • Newark, NJ
National Provider Identifier
1356412688
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03686 Issued in NJ
Practice address
73 Ferry St
Lower Level
Newark, NJ 07105-1831
Phone
(973) 466-9828
Fax
(973) 466-9829
NPI assigned
Nov 10, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 03686 NJ Primary

Addresses

Primary practice location

73 Ferry St
Lower Level
Newark, NJ 07105-1831

Mailing address

73 Ferry St
Lower Level
Newark, NJ 07105-1831
Phone (973) 466-9828

Other identifiers 1

IdentifierTypeStateIssuer
3432505MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120404000030 NJ Practitioner - Chiropractic 5890955595 Practice locations: Newark, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

73 Ferry St
BSMT
Newark, NJ 07105-1831
Phone (973) 466-9828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03686NJMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356412688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 FERRY ST",
            "address_2": "LOWER LEVEL",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051831",
            "telephone_number": "973-466-9828",
            "fax_number": "973-466-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 FERRY ST",
            "address_2": "LOWER LEVEL",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051831",
            "telephone_number": "973-466-9828",
            "fax_number": "973-466-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUIL",
        "first_name": "ELAINE",
        "middle_name": "ASYAH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "03686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3432505",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.