NPIMap

Organization Active NPI

Mary-Ellen Rada, DC, LLC

  • Chiropractor
  • Jackson, NJ
National Provider Identifier
1356588800
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00368100 Issued in NJ
Legal business name
MARY-ELLEN RADA, DC, LLC
Practice address
730 Brewers Bridge Rd
Jackson, NJ 08527-2033
Phone
(732) 901-4343
Fax
(732) 901-1080
NPI assigned
Jan 20, 2009
Last updated
Jan 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Mary-Ellen Rada, DCNPI 1427271733
Title
Owner
Phone
(732) 901-4343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00368100 NJ Primary

Addresses

Primary practice location

730 Brewers Bridge Rd
Jackson, NJ 08527-2033

Mailing address

730 Brewers Bridge Rd
Jackson, NJ 08527-2033
Phone (732) 901-4343

National Provider Directory

National Provider Directory

Locations

730 Brewers Bridge Rd
Jackson, NJ 08527
Phone (732) 901-4343

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1356588800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 BREWERS BRIDGE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272033",
            "telephone_number": "732-901-4343",
            "fax_number": "732-901-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 BREWERS BRIDGE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272033",
            "telephone_number": "732-901-4343",
            "fax_number": "732-901-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY-ELLEN RADA, DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "RADA",
        "authorized_official_first_name": "MARY-ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-901-4343",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00368100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.