Individual provider Active NPI

Noah Dekoyer, D.C.

  • Chiropractor
  • Bayonne, NJ
National Provider Identifier
1548213192
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00584800 Issued in NJ
Practice address
734 Broadway
Bayonne, NJ 07002-4274
Phone
(201) 437-0033
Fax
(201) 858-4049
NPI assigned
May 17, 2006
Last updated
Aug 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00584800 NJ Primary

Addresses

Primary practice location

734 Broadway
Bayonne, NJ 07002-4274

Mailing address

734 Broadway
Bayonne, NJ 07002-4274
Phone (201) 437-0033

Other names 1

  • Noah Dekoyer Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060504000569 NJ Practitioner - Chiropractic 6305856352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Family Chiropractic Center of Bayonne PAGroup PAC ID 2567482201, 2 clinicians

Practice addresses (Care Compare)

120 Lefante Way
Bayonne, NJ 07002-5060
Phone (201) 437-0033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Center of Bayonne PA Chiropractor CurrentSince Jul 12, 2005 Accepting new patients

Locations

120 Lefante Way
Bayonne, NJ 07002
Phone (201) 339-2500

120 Lefante Way
Ste 4
Bayonne, NJ 07002

734 Broadway
Bayonne, NJ 07002
Phone (201) 437-0033

853 Avenue C
Bayonne, NJ 07002
Phone (201) 437-0033

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1548213192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024274",
            "telephone_number": "201-437-0033",
            "fax_number": "201-858-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024274",
            "telephone_number": "201-437-0033",
            "fax_number": "201-858-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKOYER",
        "first_name": "NOAH",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00584800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOAH",
            "last_name": "DEKOYER",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.