Kevin R. Candino, D.C. LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00609600 Issued in NJ

Practice address

4 Bridge Plaza Dr
Manalapan, NJ 07726-1746

Phone

(732) 970-6191

Fax

(732) 970-6194

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kevin R. Candino DC LLC

  • Chiropractor
  • Manalapan, NJ
  • NPI 1447425087
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1427100833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRIDGE PLAZA DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077261746",
            "telephone_number": "732-970-6191",
            "fax_number": "732-970-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BRIDGE PLAZA DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077261746",
            "telephone_number": "732-970-6191",
            "fax_number": "732-970-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDINO",
        "first_name": "KEVIN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C. LLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00609600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C & M Medical-Legal Consultants, LLC
• Ca Manalapan LLC
• Leonard Calalang, OTR/L
• Sophia Cammarata
• Tiffany M Campbell, LMFT
• Haley Carol Caporrino, MSW, LSW, RBT
• Amelia Marjorie Carlson
• Danna Lynn Carlton
• Carmine J. Defusco, M.D., P.a.
• Kiera Carmody

• Chiropractor in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.