Active NPI
Kara Conroy, DC
- Chiropractor
- Fanwood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00788900
- Practice address
- 313 South Ave Ste 205
Fanwood, NJ 07023-1364 - Phone
- (704) 201-3789
- NPI assigned
- Jan 19, 2022
- Last updated
- Jan 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00788900 | NJ | Primary |
Addresses
Primary practice location
313 South Ave Ste 205
Fanwood, NJ 07023-1364
Mailing address
245 Kramer Ave
Staten Island, NY 10309-4226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
313 S Ave
Suite 203
Fanwood, NJ 07023-1364
Phone (908) 288-7049
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00788900 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Performance Institute PC | Chiropractor | Current | Accepting new patients |
Locations
781 Brick Blvd
Brick, NJ 08723
Phone (732) 428-7472
313 South Ave
Ste 203
Fanwood, NJ 07023
Phone (908) 288-7049
313 South Ave
Ste 205
Fanwood, NJ 07023
Phone (908) 288-7049
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1184951501
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1366194540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 KRAMER AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103094226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 SOUTH AVE STE 205",
"city": "FANWOOD",
"state": "NJ",
"postal_code": "070231364",
"telephone_number": "704-201-3789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONROY",
"first_name": "KARA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-19",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00788900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fanwood, NJ
Sources for this page
- 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.
- 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.