Organization Active NPI

Maycock Chiropractic Associates, LLC

  • Chiropractor
  • Williamstown, NJ
National Provider Identifier
1467916577
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MAYCOCK CHIROPRACTIC ASSOCIATES, LLC
Practice address
117 Washington Ave Ste C
Williamstown, NJ 08094
Phone
(856) 262-7234
Fax
(856) 629-9226
NPI assigned
Jan 23, 2019
Last updated
Jun 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Dr. Franklin L Maycock, DCNPI 1447722855
Title
President
Phone
(856) 340-2083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

117 Washington Ave Ste C
Williamstown, NJ 08094

Mailing address

117 Washington Ave Ste C
Williamstown, NJ 08094-1817
Phone (856) 262-7234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190529003114 NJ Part B Supplier - Clinic/Group Practice 8325381650 Receives reassigned benefits from 4 practitioners
Practice locations: Williamstown, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1467916577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 WASHINGTON AVE STE C",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941817",
            "telephone_number": "856-262-7234",
            "fax_number": "856-629-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 WASHINGTON AVE STE C",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "08094",
            "telephone_number": "856-262-7234",
            "fax_number": "856-629-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYCOCK CHIROPRACTIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "MAYCOCK",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-340-2083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.