East Coast Chiropractic and Rehab Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00688400 Issued in NJ

Legal business name

EAST COAST CHIROPRACTIC AND REHAB CENTER

Practice address

314 Chris Gaupp Dr
Suite 201
Galloway, NJ 08205-4464

Phone

(609) 404-7797

Fax

(609) 404-7790

NPI assigned

Aug 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Tisha A Cozart, D.C.NPI 1467576546

Title

Owner

Phone

(609) 404-7797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tisha A. Cozart, D.C.

  • Rehabilitation Chiropractor
  • Galloway, NJ
  • NPI 1467576546
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1467701920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 WEDGEWOOD DR",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345266",
            "telephone_number": "609-404-7797",
            "fax_number": "609-404-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CHRIS GAUPP DR",
            "address_2": "SUITE 201",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054464",
            "telephone_number": "609-404-7797",
            "fax_number": "609-404-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST CHIROPRACTIC AND REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "COZART",
        "authorized_official_first_name": "TISHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-404-7797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00688400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mona Elgenaidi, M.D.
• Emma L Bryan DPM
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• Chiropractor in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.