Robert Kovarik, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00782300 Issued in NJ

Practice address

1501 Route 47
Rio Grande, NJ 08242-1401

Phone

(609) 886-8039

NPI assigned

Jun 15, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Health Marlton LLCGroup PAC ID 4486097706, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Active Health Marlton LLC

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1265161905

  Chiropractor, NJ

  Medicare reassignment Care Compare group NPD
• Active Health Marmora LLC

  • Family Medicine Physician
  • Marmora, NJ
  • NPI 1629707369

  Chiropractor, NJ

  Medicare reassignment NPD
• Regenerative Medicine of South Jersey LLC

  • Family Medicine Physician
  • Rio Grande, NJ
  • NPI 1992342109

  Chiropractor, NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1528636628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ROUTE 47",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421401",
            "telephone_number": "609-886-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ROUTE 47",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421401",
            "telephone_number": "609-886-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVARIK",
        "first_name": "ROBERT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00782300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helena Ji
• Avril Jonassaint-Cathie, APN
• Frank Jones, CNA
• Michelle K Keating, LCSW
• Brian Kerper, O.D.
• Meghan L Kozlowski, DPT
• Vincent Leszczynski, LSW
• Van Lieu
• Clyde Neal Lipke, P.T.
• Kaitlyn Elizabeth Long, LSW

• All providers in Rio Grande, NJ
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.