Organization Active NPI

Rhino Chiropractic

  • Chiropractor
  • Randolph, NJ
National Provider Identifier
1508078775
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC 05268 Issued in NJ
Legal business name
RHINO CHIROPRACTIC
Practice address
961 Route 10 East
Randolph, NJ 07869
Phone
(973) 252-6040
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Dr. Gerri Ryan, D.C.
Title
President
Phone
(973) 252-6040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X MC 05268 NJ Primary

Addresses

Primary practice location

961 Route 10 East
Randolph, NJ 07869

Mailing address

961 Route 10 East
Randolph, NJ 07869
Phone (973) 252-6040

Other names 1

  • Ryan Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040507000113 NJ Part B Supplier - Clinic/Group Practice 3971592817 Receives reassigned benefits from 1 practitioner
Practice locations: Randolph, NJ

National Provider Directory

National Provider Directory

Locations

961 Route 10 E
Randolph, NJ 07869
Phone (973) 252-6040

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1508078775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 ROUTE 10 EAST",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "07869",
            "telephone_number": "973-252-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 ROUTE 10 EAST",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "07869",
            "telephone_number": "973-252-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHINO CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "GERRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-252-6040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC 05268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ryan Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Randolph, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.