Russell C Doyle, D.C.
Individual provider Active NPI Chiropractor · Millville, NJ
NPI 1366428039 · NPPES record last updated Nov 3, 2010
Key facts
- NPI
- 1366428039
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 38MC00379800 (NJ)
- Practice address
- 1014 N High St
Millville, NJ 08332-2527 - Phone
- (856) 327-0320
- Fax
- (856) 825-4183
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Chiropractic Institute of New York, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Millville Chiropractic Center
Practice addresses (Care Compare)
1014 N High St
Millville, NJ 08332-2527
Phone (856) 327-0320
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120418000535 | NJ | Practitioner - Chiropractic | 9032379334 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00379800 | NJ | Yes |
Addresses
Primary practice location
1014 N High St
Millville, NJ 08332-2527
Mailing address
1014 N High St
Millville, NJ 08332-2527
Phone (856) 327-0320
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15024 | Other | NJ | UHP |
| 561359 | Other | NJ | KEYSTONE |
| 0541489 | Other | NJ | US HEALTHCRE |
| 0541489 | Other | NJ | AETNA |
| 1141964 | Other | NJ | HORIZON NJ HEALTH |
| 6954502 | Medicaid | NJ | |
| NJ03798 | Other | NJ | LANDMARK |
| 0382704000 | Other | NJ | AMERIHEALTH |
Other providers in Millville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.