Individual provider Active NPI

Jesse J Burrini Jr., D.C.

  • Chiropractor
  • Newark, NJ
National Provider Identifier
1457388381
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00539100 Issued in NJ
Practice address
123 Clifford St., Ste 105
Newark, NJ 07105
Phone
(973) 466-3810
NPI assigned
Jun 27, 2006
Last updated
Jun 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00539100 NJ Primary

Addresses

Primary practice location

123 Clifford St., Ste 105
Newark, NJ 07105

Mailing address

4 Long Hill Rd
Newton, NJ 07860-5379
Phone (973) 579-9110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060418000677 NJ Practitioner - Chiropractic 0042229148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kittatinny Chiropractic and Wellness CenterGroup PAC ID 8820351141, 2 clinicians

Practice addresses (Care Compare)

123 Clifford St
Suite 105
Newark, NJ 07105-1950
Phone (973) 466-3810

222 High St
Suite 201B
Newton, NJ 07860-9605
Phone (973) 300-5667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00539100NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kittatinny Chiropractic and Wellness Center Chiropractor CurrentSince Nov 13, 2017 Accepting new patients
Lafayette Street Chiropractic Center PC Chiropractor CurrentSince Feb 15, 2005 Accepting new patients

Locations

123 Clifford St
Ste 105
Newark, NJ 07105
Phone (973) 466-3810

222 High St
Ste 201B
Newton, NJ 07860
Phone (973) 300-5667

Organizations & group practices 2

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1457388381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LONG HILL RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078605379",
            "telephone_number": "973-579-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CLIFFORD ST., STE 105",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07105",
            "telephone_number": "973-466-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRINI",
        "first_name": "JESSE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00539100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.