Organization Active NPI

Knickerbocker Chiropractic Centre

  • Chiropractor
  • Demarest, NJ
National Provider Identifier
1497084537
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00242800 Issued in NJ
Legal business name
KNICKERBOCKER CHIROPRACTIC CENTRE
Practice address
27 Knickerbocker Rd
Demarest, NJ 07627-1904
Phone
(201) 768-6605
Fax
(201) 768-0667
NPI assigned
Dec 21, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Therese A Franklin, D.C.NPI 1760491088
Title
Chiropractor
Phone
(201) 768-6605

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

Practitioners 2

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101203000996 NJ Part B Supplier - Clinic/Group Practice 9436346335 Receives reassigned benefits from 2 practitioners
Practice locations: Demarest, NJ

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00242800 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

27 Knickerbocker Rd
Demarest, NJ 07627-1904

Mailing address

27 Knickerbocker Rd
Demarest, NJ 07627-1904
Phone (201) 768-6605

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 21, 2009.

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1497084537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 KNICKERBOCKER RD",
            "city": "DEMAREST",
            "state": "NJ",
            "postal_code": "076271904",
            "telephone_number": "201-768-6605",
            "fax_number": "201-768-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 KNICKERBOCKER RD",
            "city": "DEMAREST",
            "state": "NJ",
            "postal_code": "076271904",
            "telephone_number": "201-768-6605",
            "fax_number": "201-768-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNICKERBOCKER CHIROPRACTIC CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "201-768-6605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00242800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Demarest, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.