Individual provider Active NPI

Brian E. O'Mullan, D.C.

  • Chiropractor
  • Manasquan, NJ
National Provider Identifier
1447448501
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00661000 Issued in NJ
Practice address
2399 Route 34
Suite a-5
Manasquan, NJ 08736-1500
Phone
(732) 528-5533
Fax
(732) 528-0360
NPI assigned
Oct 13, 2007
Last updated
Aug 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00661000 NJ Primary

Addresses

Primary practice location

2399 Route 34
Suite a-5
Manasquan, NJ 08736-1500

Mailing address

2399 Route 34
Suite a-5
Manasquan, NJ 08736-1500
Phone (732) 528-5533

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080611000526 NJ Practitioner - Chiropractic 9537230081 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Discover Chiropractic Inc.Group PAC ID 1052593563, 2 clinicians

Practice addresses (Care Compare)

136 Drum Point Rd
Suite 4
Brick, NJ 08723-6275
Phone (732) 920-8844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00661000NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Monmouth Pain and Rehabilitation PC Chiropractor CurrentSince Apr 1, 2021 Accepting new patients
Monmouth Pain and Rehabiliation PC Chiropractor CurrentSince Apr 1, 2021 Accepting new patients
Ocean Grown Chiropractic & Wellness Center Chiropractor CurrentSince Mar 2, 2024 Accepting new patients
Discover Chiropractic Inc. CurrentSince Oct 14, 2023 Accepting new patients
Discover Chiropractic PastSince Oct 14, 2023 Accepting new patients

Locations

919 Main St
Belmar, NJ 07719
Phone (732) 503-6048

136 Drum Point Rd
Ste 4
Brick, NJ 08723
Phone (732) 920-8844

2700 Bridge Ave
Ste 1
Point Pleasant Boro, NJ 08742
Phone (732) 475-7690

7 Globe Ct
Red Bank, NJ 07701
Phone (732) 345-1372

3100 State Route 138
Ste 3
Wall Township, NJ 07719
Phone (732) 280-9500

Organizations & group practices 5

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": "1192233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1447448501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2399 ROUTE 34",
            "address_2": "SUITE A-5",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361500",
            "telephone_number": "732-528-5533",
            "fax_number": "732-528-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2399 ROUTE 34",
            "address_2": "SUITE A-5",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361500",
            "telephone_number": "732-528-5533",
            "fax_number": "732-528-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MULLAN",
        "first_name": "BRIAN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-13",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00661000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.