Individual provider Active NPI

Hannah McIntyre, DC

  • Chiropractor
  • Columbus, NJ
National Provider Identifier
1487364691
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00793700 Issued in NJ
Practice address
24548 E Main St # 104a
Columbus, NJ 08022-1316
Phone
(609) 306-4872
NPI assigned
Nov 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00793700 NJ Primary

Addresses

Primary practice location

24548 E Main St # 104a
Columbus, NJ 08022-1316

Mailing address

24548 E Main St Ste 104a
Columbus, NJ 08022-1316
Phone (267) 274-6202

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherN/A

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230412002643 NJ Practitioner - Chiropractic 8123493780 Reassigns benefits to 2 organizations
Practice locations: Columbus, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Refuge Chiropractic LLC Chiropractor CurrentSince Sep 15, 2024 Accepting new patients

Locations

24548 E Main St
Ste 104A
Columbus, NJ 08022
Phone (267) 274-6202

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1487364691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24548 E MAIN ST STE 104A",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080221316",
            "telephone_number": "267-274-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24548 E MAIN ST # 104A",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080221316",
            "telephone_number": "609-306-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "HANNAH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00793700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.