Organization Active NPI

Power on Chiropractic Center,LLC

Doing business as South Holmdel Chiropractic

  • Chiropractor
  • Holmdel, NJ
National Provider Identifier
1417440363
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00574900 Issued in NJ
Legal business name
POWER ON CHIROPRACTIC CENTER,LLC
Doing business as
South Holmdel Chiropractic
Practice address
12 S Holmdel Rd
Holmdel, NJ 07733-2130
Phone
(732) 946-2999
Fax
(732) 946-2999
NPI assigned
Jun 14, 2018
Last updated
Jun 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Authorized official

Name
Dr. Darren Porcaro, DC
Title
Owner/Member
Phone
(732) 946-2999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00574900 NJ Primary

Addresses

Primary practice location

12 S Holmdel Rd
Holmdel, NJ 07733-2130

Mailing address

12 S Holmdel Rd
Holmdel, NJ 07733-2130
Phone (732) 946-2999

Other names 1

  • South Holmdel Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

12 S Holmdel Rd
Holmdel, NJ 07733
Phone (732) 946-2999

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1417440363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 S HOLMDEL RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332130",
            "telephone_number": "732-946-2999",
            "fax_number": "732-946-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S HOLMDEL RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332130",
            "telephone_number": "732-946-2999",
            "fax_number": "732-946-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER ON CHIROPRACTIC CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "PORCARO",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "732-946-2999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00574900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Holmdel Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Holmdel Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.