Individual provider Active NPI

Joseph Stewart Nieroda, D.C

  • Chiropractor
  • Elizabeth, NJ
National Provider Identifier
1558544338
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC005327 Issued in NJ
Practice address
925 Elizabeth Ave
Elizabeth, NJ 07201-2727
Phone
(908) 353-7701
Fax
(908) 353-7707
NPI assigned
Dec 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC005327 NJ Primary

Addresses

Primary practice location

925 Elizabeth Ave
Elizabeth, NJ 07201-2727

Mailing address

925 Elizabeth Ave
Elizabeth, NJ 07201-2727
Phone (908) 353-7701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MC005327NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mora Chiropractic Center PC Chiropractor Current 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": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1558544338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012727",
            "telephone_number": "908-353-7701",
            "fax_number": "908-353-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012727",
            "telephone_number": "908-353-7701",
            "fax_number": "908-353-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIERODA",
        "first_name": "JOSEPH",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-14",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC005327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.