Theodore M Koziol, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00329800 Issued in NJ

Practice address

387 Brick Blvd
Brick, NJ 08723-6010

Phone

(732) 477-6767

Fax

(732) 477-9333

NPI assigned

Apr 2, 2007

Last updated

Sep 16, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Back and Neck Center of Brick LLC

  • Chiropractor
  • Brick, NJ
  • NPI 1134374564
  Authorized official Same address or phone
• Back and Neck Center of Brick, LLC

  dba Back and Neck Center of Brick

  • Chiropractor
  • Brick, NJ
  • NPI 1851939300
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1578684155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 BRICK BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236010",
            "telephone_number": "732-477-6767",
            "fax_number": "732-477-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 BRICK BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236010",
            "telephone_number": "732-477-6767",
            "fax_number": "732-477-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZIOL",
        "first_name": "THEODORE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00329800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kosch, SPEECH THERAPIST
• Sara Kosciuch, M. ED
• Elizabeth Kosmetatos, MD
• Marshall B Koven, MD
• Elizabeth S Kowantz, M.A. BCBA
• Ricki H Krantz-Horowitz, DMD
• Christopher Michael Krautheim, OPTICIAN
• Carlo John Krecic, DO
• Tyler Michael Kreitz, M.D.
• Roman Kremen, D.O.

• Chiropractor in Brick, NJ
• Providers in Brick, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.