Organization Active NPI

Monmouth Spine and Wellness II

  • Chiropractor
  • Colonia, NJ
National Provider Identifier
1376282574
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MONMOUTH SPINE AND WELLNESS II
Practice address
1503 Saint Georges Ave Ste 101
Colonia, NJ 07067-3427
Phone
(732) 943-2637
Fax
(732) 943-2745
NPI assigned
Jun 3, 2022
Last updated
Jun 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Authorized official

Name
Dr. Racquel Gabriella Decaro, DCNPI 1164883641
Title
Member/Chiropractic Physician
Phone
(917) 916-5217

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1503 Saint Georges Ave Ste 101
Colonia, NJ 07067-3427

Mailing address

342 Route 9 Ste 1
Manalapan, NJ 07726-9603
Phone (732) 252-5555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1376282574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 ROUTE 9 STE 1",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077269603",
            "telephone_number": "732-252-5555",
            "fax_number": "723-252-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 SAINT GEORGES AVE STE 101",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673427",
            "telephone_number": "732-943-2637",
            "fax_number": "732-943-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH SPINE AND WELLNESS II",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "DECARO",
        "authorized_official_first_name": "RACQUEL",
        "authorized_official_middle_name": "GABRIELLA",
        "authorized_official_title_or_position": "MEMBER/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "917-916-5217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonia, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.