Individual provider Active NPI

Blair Chowansky, DC

  • Chiropractor
  • Asbury Park, NJ
National Provider Identifier
1457824906
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00751000 Issued in NJ
Practice address
1303 Memorial Dr
Asbury Park, NJ 07712-5028
Phone
(440) 772-0113
NPI assigned
Jan 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00751000 NJ Primary

Addresses

Primary practice location

1303 Memorial Dr
Asbury Park, NJ 07712-5028

Mailing address

18 Pickle Rd
Califon, NJ 07830-3540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38MC00751000NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Seaglass Chiropractic Chiropractor CurrentSince Jun 5, 2022 Accepting new patients

Locations

1303 Memorial Dr
Asbury Park, NJ 07712
Phone (440) 772-0113

Organizations & group practices 1

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": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1457824906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PICKLE RD",
            "city": "CALIFON",
            "state": "NJ",
            "postal_code": "078303540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 MEMORIAL DR",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077125028",
            "telephone_number": "440-772-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWANSKY",
        "first_name": "BLAIR",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00751000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asbury Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.