Organization Active NPI

Freeman Chiropractic Care LLC

  • Chiropractor
  • Marmora, NJ
National Provider Identifier
1548214554
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00196300 Issued in NJ
Legal business name
FREEMAN CHIROPRACTIC CARE LLC
Practice address
16 Roosevelt Blvd
Suite a
Marmora, NJ 08223-1402
Phone
(609) 390-0571
Fax
(609) 390-8871
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffrey Scott Freeman, D.C.
Title
Owner (Sole Proprietor)
Phone
(609) 390-0571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00196300 NJ Primary

Addresses

Primary practice location

16 Roosevelt Blvd
Suite a
Marmora, NJ 08223-1402

Mailing address

16 Roosevelt Blvd
Suite a
Marmora, NJ 08223-1402
Phone (609) 390-0571

Other identifiers 1

IdentifierTypeStateIssuer
1083559MedicaidNJ

National Provider Directory

National Provider Directory

Locations

16 Roosevelt Blvd
Ste A
Marmora, NJ 08223
Phone (609) 390-0571

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548214554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ROOSEVELT BLVD",
            "address_2": "SUITE A",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231402",
            "telephone_number": "609-390-0571",
            "fax_number": "609-390-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ROOSEVELT BLVD",
            "address_2": "SUITE A",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231402",
            "telephone_number": "609-390-0571",
            "fax_number": "609-390-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN CHIROPRACTIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER (SOLE PROPRIETOR)",
        "authorized_official_telephone_number": "609-390-0571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00196300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083559",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marmora, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.