Michael Gregory Adamczyk, DC
Individual provider Active NPI Chiropractor · Manasquan, NJ
NPI 1396843553 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1396843553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 38MC00184000 (NJ)
- Practice address
- 23 Taylor Avenue Route 71
Manasquan, NJ 08736 - Phone
- (732) 528-8884
- Fax
- (732) 528-0716
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 1979
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
23 Taylor Ave
Manasquan, NJ 08736-3025
Phone (732) 528-8884
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120712000275 | NJ | Practitioner - Chiropractic | 4981869260 | Practice locations: Manasquan, NJ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00184000 | NJ | Yes |
Addresses
Primary practice location
23 Taylor Avenue Route 71
Manasquan, NJ 08736
Mailing address
23 Taylor Ave Route 71
Manasquan, NJ 08736
Phone (732) 528-8884
NPI Registry JSON
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396843553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 TAYLOR AVE ROUTE 71",
"city": "MANASQUAN",
"state": "NJ",
"postal_code": "08736",
"telephone_number": "732-528-8884",
"fax_number": "732-528-0716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 TAYLOR AVENUE ROUTE 71",
"city": "MANASQUAN",
"state": "NJ",
"postal_code": "08736",
"telephone_number": "732-528-8884",
"fax_number": "732-528-0716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMCZYK",
"first_name": "MICHAEL",
"middle_name": "GREGORY",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00184000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manasquan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.