Active NPI
Robert Konieczny, D.C.
- Chiropractor
- Madison, NJ
National Provider Identifier
1508917253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MCO0277900
- Practice address
- 6 Green Village Rd
Madison, NJ 07940-1817 - Phone
- (973) 377-2900
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MCO0277900 | NJ | Primary |
Addresses
Primary practice location
6 Green Village Rd
Madison, NJ 07940-1817
Mailing address
6 Green Village Rd
Madison, NJ 07940-1817
Phone (973) 377-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070322000354 | NJ | Practitioner - Chiropractic | 8224132741 | Practice locations: Chatham, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
466 Southern Blvd
Chatham, NJ 07928-1462
Phone (973) 377-2900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MCO0277900 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483056000000",
"number": "1508917253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 GREEN VILLAGE RD",
"city": "MADISON",
"state": "NJ",
"postal_code": "079401817",
"telephone_number": "973-377-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 GREEN VILLAGE RD",
"city": "MADISON",
"state": "NJ",
"postal_code": "079401817",
"telephone_number": "973-377-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONIECZNY",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2016-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MCO0277900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, NJ
- Barbara Kennard, MSW, LCSW
- William White Kennard Jr., M.S.W., L.C.S.W.
- Harvey Ronald Kennedy, M.D.
- Alyssa Nikole Kist, DMD
- Melissa Klika Mack, PSY.D.
- Yvonne Michelle Krasner-Cohen, LPC, LCADC
- Krieck Enterprises LLC (Living Free Home)
- Krieck Enterprises LLC (Homecare America)
- George P Kryzaniwsky, D.D.S.
- Jessica A. Kuba, MT-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.