Individual provider Active NPI

Jeanine D Golden, DC

  • Chiropractor
  • Union, NJ
National Provider Identifier
1548272156
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00603500 Issued in NJ
Practice address
418 Chestnut St
Ste C
Union, NJ 07083-9306
Phone
(908) 810-9002
Fax
(908) 810-9012
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00603500 NJ Primary

Addresses

Primary practice location

418 Chestnut St
Ste C
Union, NJ 07083-9306

Mailing address

418 Chestnut St
Ste C
Union, NJ 07083-9306
Phone (908) 810-9002

Other identifiers 5

IdentifierTypeStateIssuer
1523495OtherNJAMERICHOICE
P2752095OtherNJOXFORD
3325455OtherNJAETNA HMO
2K5605OtherNJHEALTHNET
9284171003OtherNJCONNECTICUT GENERAL INS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050510000026 NJ Practitioner - Chiropractic 6305886557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Chiropractic Center PCGroup PAC ID 5597705749, 3 clinicians

Practice addresses (Care Compare)

418 Chestnut St
Union, NJ 07083-9306
Phone (908) 810-9002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Union Chiropractic Center Chiropractor CurrentSince Jan 10, 2005 Accepting new patients
Union Chiropractic Center PC Chiropractor CurrentSince Jan 10, 2008 Accepting new patients

Locations

418 Chestnut St
#C
Union, NJ 07083
Phone (908) 810-9002

418 Chestnut St
Union, NJ 07083
Phone (908) 810-9002

Organizations & group practices 2

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1548272156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 CHESTNUT ST",
            "address_2": "STE C",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070839306",
            "telephone_number": "908-810-9002",
            "fax_number": "908-810-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 CHESTNUT ST",
            "address_2": "STE C",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070839306",
            "telephone_number": "908-810-9002",
            "fax_number": "908-810-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "JEANINE",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00603500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "1523495",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2752095",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3325455",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K5605",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT GENERAL INS",
            "identifier": "9284171003",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.