James Proodian, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00452500 Issued in NJ

Practice address

10 W End CT
Long Branch, NJ 07740-5172

Phone

(732) 222-2219

Fax

(732) 229-8863

NPI assigned

Sep 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Natural Healthcare Center of West End, LLCGroup PAC ID 7911971148, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Natural Healthcare Center of West End, LLC

  • Chiropractor
  • Long Branch, NJ
  • NPI 1821284563
  Medicare reassignment Care Compare group NPD Authorized official
• Natural Healthcare Center of Middletown, LLC

  • Chiropractor
  • Middletown, NJ
  • NPI 1295157956
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1477547636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W END CT",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405172",
            "telephone_number": "732-222-2219",
            "fax_number": "732-229-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W END CT",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405172",
            "telephone_number": "732-222-2219",
            "fax_number": "732-229-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROODIAN",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00452500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "383662747",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shatiera Myesha Portee, LAC,NCC
• Possibilities Plus, LLC
• Richard Primavera, DPM CWS FACFAOM
• Alissa Principato, APN
• Hannah Proodian, OTR
• Propel Rehabilitation & Wellness LLC
• PT on the Go PC
• Erin Marie Qualter, M.D.
• Quickstar Laboratories
• Juliane Barbosa Rabelo, NC

• All providers in Long Branch, NJ
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.