Individual provider Active NPI

Jenna Patel

  • Chiropractor
  • Roseland, NJ
National Provider Identifier
1386409506
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00801200 Issued in NJ
Practice address
12 Eisenhower Pkwy Ste 1
Roseland, NJ 07068-1638
Phone
(973) 200-2424
NPI assigned
Feb 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00801200 NJ Primary

Addresses

Primary practice location

12 Eisenhower Pkwy Ste 1
Roseland, NJ 07068-1638

Mailing address

22 Barretta CT
Roseland, NJ 07068-2100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307000141 NJ Practitioner - Chiropractic 9830535368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 Eisenhower Pkwy
Suite 1
Roseland, NJ 07068-1638
Phone (973) 200-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00801200NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hsnnj Chiro PC Chiropractor CurrentSince Apr 1, 2025 Accepting new patients
Family Chiropractic Clinic of Hillsborough Chiropractor PastSince Jan 14, 2013 Accepting new patients
Recover Pro Medical & Wellness Chiropractor Past Accepting new patients

Locations

12 Eisenhower Pkwy
Ste 1
Roseland, NJ 07068
Phone (973) 200-2424

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1386409506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BARRETTA CT",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070682100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 EISENHOWER PKWY STE 1",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681638",
            "telephone_number": "973-200-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00801200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.

Verify at the official NPI Registry.