Individual provider Active NPI

Jeffrey J Lepoidevin, DC

  • Chiropractor
  • Howell, NJ
National Provider Identifier
1437201589
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00546300 Issued in NJ
Practice address
4697 RT 9 North
Howell, NJ 07731-3384
Phone
(732) 901-2928
Fax
(732) 901-3980
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00546300 NJ Primary

Addresses

Primary practice location

4697 RT 9 North
Howell, NJ 07731-3384

Mailing address

4697 RT 9 North
Howell, NJ 07731-3384
Phone (732) 901-2928

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040109000494 NJ Practitioner - Chiropractic 3476452913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monmouth Associated Spine and Rehabilitation CenterGroup PAC ID 2567533680, 6 clinicians

Practice addresses (Care Compare)

49 Kent Rd
Howell, NJ 07731-2452
Phone (732) 901-2928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Spine & Physical Therapy Center LLC Chiropractor Current Accepting new patients
Monmouth Associated Spine & Rehabilitation Center Chiropractor CurrentSince Jun 1, 2008 Accepting new patients
Anchorage Physical Therapy, LLC PastSince Apr 3, 2017 Accepting new patients

Locations

49 Kent Rd
Howell, NJ 07731
Phone (732) 901-2928

4697 Route 9 N
Howell, NJ 07731
Phone (732) 901-2928

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437201589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4697 RT 9 NORTH",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313384",
            "telephone_number": "732-901-2928",
            "fax_number": "732-901-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4697 RT 9 NORTH",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313384",
            "telephone_number": "732-901-2928",
            "fax_number": "732-901-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPOIDEVIN",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00546300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.