Individual provider Active NPI

Casey Parks

  • Chiropractor
  • Shrewsbury, NJ
National Provider Identifier
1417609124
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00789200 Issued in NJ
Practice address
555 Shrewsbury Ave Ste E
Shrewsbury, NJ 07702-4165
Phone
(732) 757-3347
NPI assigned
Jan 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00789200 NJ Primary

Addresses

Primary practice location

555 Shrewsbury Ave Ste E
Shrewsbury, NJ 07702-4165

Mailing address

85 Belaire CT
Matawan, NJ 07747-1119
Phone (732) 757-3347

Other identifiers 1

IdentifierTypeStateIssuer
38MC00789200OtherNJLICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220207002131 NJ Practitioner - Chiropractic 5294128674 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Spine and RehabilitationGroup PAC ID 0143631283, 7 clinicians

Practice addresses (Care Compare)

55 -77 Schanck Rd
Suite B 17
Freehold, NJ 07728-2964
Phone (732) 414-6061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Altitude Movement LLC Chiropractor CurrentSince May 25, 2025 Accepting new patients
Garden State Spine and Rehabilitation Chiropractor CurrentSince Dec 15, 2022 Accepting new patients
Old Bridge Spine & Wellness Center,PA CurrentSince Jan 26, 2022 Accepting new patients

Locations

1503 Saint Georges Ave
Ste 201
Colonia, NJ 07067
Phone (732) 382-0880

77 Schanck Rd
Ste B-17
Freehold, NJ 07728
Phone (201) 871-4000

144 State Route 34
Matawan, NJ 07747
Phone (732) 316-5895

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": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1417609124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BELAIRE CT",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077471119",
            "telephone_number": "732-757-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SHREWSBURY AVE STE E",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024165",
            "telephone_number": "732-757-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-24",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00789200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "38MC00789200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.