Individual provider Active NPI

Emma Lucia Yepez-Ziegenbalg, D.C.

  • Chiropractor
  • Colonia, NJ
National Provider Identifier
1518082676
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC04763 Issued in NJ
Practice address
622 Inman Ave
Colonia, NJ 07067-1000
Phone
(732) 499-9191
Fax
(732) 499-8618
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC04763 NJ Primary

Addresses

Primary practice location

622 Inman Ave
Colonia, NJ 07067-1000

Mailing address

35 Jeffery Rd
Colonia, NJ 07067-2413
Phone (732) 499-9191

Other identifiers 11

IdentifierTypeStateIssuer
5138468OtherNJAETNA PPO
P2561573OtherNJOXFORD
2087552OtherNJAETNA HMO
2029096OtherNJUNITED HEALTHCARE
31188OtherNJMASTER CARE BEECH STREET
5716539OtherNJGHI
U75450OtherNJHEALTHNET
66895OtherNJOPERATING ENGINEERS LOCAL
IK9553OtherNJLANDMARK
350051564OtherNJRAILROAD MEDICARE
X4D801OtherNJWELLCHOICE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120316000127 NJ Practitioner - Chiropractic 1759448400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

622 Inman Ave
Colonia, NJ 07067-1000

622 Inman Ave
Colonia, NJ 07067-1030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC04763NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Chiropractic Chiropractor CurrentSince Dec 7, 2011 Accepting new patients

Organizations & group practices 1

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242950400000",
    "number": "1518082676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JEFFERY RD",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070672413",
            "telephone_number": "732-499-9191",
            "fax_number": "732-499-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 INMAN AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070671000",
            "telephone_number": "732-499-9191",
            "fax_number": "732-499-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEPEZ-ZIEGENBALG",
        "first_name": "EMMA",
        "middle_name": "LUCIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5138468",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2561573",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2087552",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2029096",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASTER CARE BEECH STREET",
            "identifier": "31188",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5716539",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "U75450",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATING ENGINEERS LOCAL",
            "identifier": "66895",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK",
            "identifier": "IK9553",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350051564",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCHOICE",
            "identifier": "X4D801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonia, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.

Verify at the official NPI Registry.