Individual provider Active NPI

Christopher Donofri, D.C.

  • Chiropractor
  • Shrewsbury, NJ
National Provider Identifier
1578654307
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00512500 Issued in NJ
Practice address
167 Avenue at the CMN
2ND Floor Ste 12
Shrewsbury, NJ 07702-4805
Phone
(732) 542-2000
Fax
(732) 542-2044
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00512500 NJ Primary

Addresses

Primary practice location

167 Avenue at the CMN
2ND Floor Ste 12
Shrewsbury, NJ 07702-4805

Mailing address

167 Avenue at the CMN
2ND Floor Ste 12
Shrewsbury, NJ 07702-4805
Phone (732) 542-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050104000115 NJ Practitioner - Chiropractic 7911964838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

167 Ave at the CMN
Suite 12
Shrewsbury, NJ 07702-4557
Phone (732) 542-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00512500NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Chiropractic Wellness Chiropractor CurrentSince Feb 11, 2009 Accepting new patients
Premier Health and Wellnesspeter Chiropractor PastSince Dec 13, 2004 Accepting new patients

Locations

188 E Bergen Pl
Ste 301
Red Bank, NJ 07701
Phone (732) 530-9797

167 Avenue At the Cmn
Ste 12
Shrewsbury, NJ 07702
Phone (732) 542-2000

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1578654307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 AVENUE AT THE CMN",
            "address_2": "2ND FLOOR STE 12",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024805",
            "telephone_number": "732-542-2000",
            "fax_number": "732-542-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 AVENUE AT THE CMN",
            "address_2": "2ND FLOOR STE 12",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024805",
            "telephone_number": "732-542-2000",
            "fax_number": "732-542-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOFRI",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00512500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.