Organization Active NPI

Quantum Chiropractic Holistic Center PC

  • Chiropractor
  • Plainfield, NJ
National Provider Identifier
1366627630
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00504900 Issued in NJ
Legal business name
QUANTUM CHIROPRACTIC HOLISTIC CENTER PC
Practice address
1314 George St
Ste B
Plainfield, NJ 07062-1748
Phone
(908) 222-7400
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Tricia Duncan
Title
Medical Biller
Phone
(601) 878-6945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00504900 NJ Primary

Addresses

Primary practice location

1314 George St
Ste B
Plainfield, NJ 07062-1748

Mailing address

PO Box 55011
Trenton, NJ 08638-6011
Phone (908) 222-7400

Other identifiers 1

IdentifierTypeStateIssuer
7243600MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050607000830 NJ Part B Supplier - Clinic/Group Practice 5698718922 Receives reassigned benefits from 1 practitioner
Practice locations: Plainfield, NJ

National Provider Directory

National Provider Directory

Locations

908 Oak Tree Ave
Ste 0
South Plainfield, NJ 07080
Phone (908) 753-0708

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1366627630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55011",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086386011",
            "telephone_number": "908-222-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 GEORGE ST",
            "address_2": "STE B",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070621748",
            "telephone_number": "908-222-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM CHIROPRACTIC HOLISTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "601-878-6945"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00504900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7243600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.