Organization Active NPI

Lenahan Chiropractic, LLC

  • Chiropractor
  • South Amboy, NJ
National Provider Identifier
1578742961
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00518800 Issued in NJ
Legal business name
LENAHAN CHIROPRACTIC, LLC
Practice address
837 Upper Main St
South Amboy, NJ 08879-1462
Phone
(732) 316-4004
Fax
(732) 316-4005
NPI assigned
Nov 1, 2007
Last updated
Jan 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Dr. Timothy Lenahan, DCNPI 1780764647
Title
Member
Phone
(732) 316-4004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00518800 NJ Primary

Addresses

Primary practice location

837 Upper Main St
South Amboy, NJ 08879-1462

Mailing address

837 Upper Main St
South Amboy, NJ 08879-1462
Phone (732) 316-4004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051019000774 NJ Part B Supplier - Clinic/Group Practice 9436175452 Receives reassigned benefits from 4 practitioners
Practice locations: South Amboy, NJ

National Provider Directory

National Provider Directory

Locations

346 Bordentown Ave
Ste B
South Amboy, NJ 08879
Phone (732) 316-4004

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1578742961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 UPPER MAIN ST",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088791462",
            "telephone_number": "732-316-4004",
            "fax_number": "732-316-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 UPPER MAIN ST",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088791462",
            "telephone_number": "732-316-4004",
            "fax_number": "732-316-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENAHAN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "LENAHAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-316-4004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00518800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.