Active NPI
Quantum Chiropractic Holistic Center PC
- Chiropractor
- Plainfield, NJ
National Provider Identifier
1366627630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00504900
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7243600 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Adult Health Nurse Practitioner
- Union, NJ
- NPI 1346348745
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.