NPIMap

Organization Active NPI

Active Health Chiropractic, LLC

  • Chiropractor
  • Milford, NJ
National Provider Identifier
1487809109
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00668900 Issued in NJ
Legal business name
ACTIVE HEALTH CHIROPRACTIC, LLC
Practice address
740 Milford Warren Glen Rd
Milford, NJ 08848-1647
Phone
(908) 995-7200
Fax
(908) 995-0778
NPI assigned
Nov 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Dr. Mathieu Lentine, D.C.
Title
Chiropractor
Phone
(908) 995-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00668900 NJ Primary

Addresses

Primary practice location

740 Milford Warren Glen Rd
Milford, NJ 08848-1647

Mailing address

740 Milford Warren Glen Rd
Milford, NJ 08848-1647
Phone (908) 995-7200

National Provider Directory

National Provider Directory

Locations

740 Milford Warren Glen Rd
Milford, NJ 08848
Phone (908) 995-0777

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1487809109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 MILFORD WARREN GLEN RD",
            "city": "MILFORD",
            "state": "NJ",
            "postal_code": "088481647",
            "telephone_number": "908-995-7200",
            "fax_number": "908-995-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MILFORD WARREN GLEN RD",
            "city": "MILFORD",
            "state": "NJ",
            "postal_code": "088481647",
            "telephone_number": "908-995-7200",
            "fax_number": "908-995-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HEALTH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "LENTINE",
        "authorized_official_first_name": "MATHIEU",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "908-995-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00668900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.