Individual provider Active NPI

Jamie Schneck, DC

  • Chiropractor
  • Livingston, NJ
National Provider Identifier
1366024192
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00781800 Issued in NJ
Practice address
301 S Livingston Ave Ste 105
Livingston, NJ 07039-3929
Phone
(973) 632-0458
NPI assigned
Apr 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00781800 NJ Primary

Addresses

Primary practice location

301 S Livingston Ave Ste 105
Livingston, NJ 07039-3929

Mailing address

301 S Livingston Ave Ste 105
Livingston, NJ 07039-3929
Phone (973) 632-0458

Electronic endpoints 4

TypeEndpointUseAffiliation
SOAP URL Livingston Health Information Exchange (HIE)
SOAP URL Livingston Health Information Exchange (HIE)
SOAP URL Livingston Health Information Exchange (HIE)
SOAP URL Livingston Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230406001200 MA Practitioner - Chiropractic 9739554635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians

Practice addresses (Care Compare)

141 Longwater Dr
Suite 109
Norwell, MA 02061-1620
Phone (339) 788-5207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00781800NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc Chiropractor CurrentSince Feb 1, 2023 Accepting new patients
Bay State Physical Therapy of Randolph Inc Chiropractor Past Accepting new patients

Locations

141 Longwater Dr
Ste 109
Norwell, MA 02061
Phone (339) 788-5207

1054 County St
Somerset, MA 02726
Phone (508) 674-3340

75 Finnell Dr
Weymouth, MA 02188
Phone (781) 335-1151

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1366024192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S LIVINGSTON AVE STE 105",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393929",
            "telephone_number": "973-632-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S LIVINGSTON AVE STE 105",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393929",
            "telephone_number": "973-632-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNECK",
        "first_name": "JAMIE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00781800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Livingston",
            "affiliation": "N",
            "endpointDescription": "EHR system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 S Livingston Ave Ste 105",
            "city": "Livingston",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070393929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Livingston",
            "affiliation": "N",
            "endpointDescription": "EHR system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 S Livingston Ave Ste 105",
            "city": "Livingston",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070393929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Livingston",
            "affiliation": "N",
            "endpointDescription": "EHR system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 S Livingston Ave Ste 105",
            "city": "Livingston",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070393929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Livingston",
            "affiliation": "N",
            "endpointDescription": "EHR system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 S Livingston Ave Ste 105",
            "city": "Livingston",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070393929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.