Individual provider Active NPI

Jennifer Lynn Miano, D.C.

  • Chiropractor
  • Montvale, NJ
National Provider Identifier
1447350657
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00569300 Issued in NJ
Practice address
70-J Chestnut Ridge Rd
Montvale, NJ 07645
Phone
(201) 746-0640
Fax
(201) 746-6015
NPI assigned
Sep 25, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 38MC00569300 NJ Primary

Addresses

Primary practice location

70-J Chestnut Ridge Rd
Montvale, NJ 07645

Mailing address

70-J Chestnut Ridge Road
Montvale, NJ 07645
Phone (201) 746-0640

Other identifiers 1

IdentifierTypeStateIssuer
7238680OtherNJAETNA HEALTH PLANS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050907000755 NJ Practitioner - Chiropractic 7214969559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen a Jones LLCGroup PAC ID 3971601394, 6 clinicians

Practice addresses (Care Compare)

18 Wyckoff Ave
Suite 201
Waldwick, NJ 07463-1778
Phone (201) 447-5757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00569300NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen a. Jones, L.L.C. Chiropractor CurrentSince Jan 1, 2022 Accepting new patients
Kara T Gallagher, DC, PC Chiropractor Past Accepting new patients
Holistic Health & Wellness Center. LLC Chiropractor PastSince Sep 13, 2006 Accepting new patients

Locations

18 Wyckoff Ave
Ste 201
Waldwick, NJ 07463
Phone (201) 447-5757

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447350657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70-J CHESTNUT RIDGE ROAD",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "07645",
            "telephone_number": "201-746-0640",
            "fax_number": "201-746-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70-J CHESTNUT RIDGE RD",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "07645",
            "telephone_number": "201-746-0640",
            "fax_number": "201-746-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIANO",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00569300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLANS",
            "identifier": "7238680",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montvale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.