Emery Chiropractic Group, LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

38MC00312100 Issued in NJ

Legal business name

EMERY CHIROPRACTIC GROUP, LLC

Practice address

310 N Maple Ave
Ridgewood, NJ 07450-2609

Phone

(201) 447-3707

Fax

(201) 447-0320

NPI assigned

Feb 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Jude Emery, D.C.NPI 1649341942

Title

Owner

Phone

(201) 447-3707

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Jude Emery, D.C.

  • Sports Physician Chiropractor
  • Ridgewood, NJ
  • NPI 1649341942
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1578860730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N MAPLE AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502609",
            "telephone_number": "201-447-3707",
            "fax_number": "201-447-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N MAPLE AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502609",
            "telephone_number": "201-447-3707",
            "fax_number": "201-447-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERY CHIROPRACTIC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "EMERY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JUDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-447-3707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00312100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P643830",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0076805",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00022961",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "607510",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa D Elliott, LCSW
• Katherine S Ellis, APN
• Robert Morton Elvove, M.D.
• Elysium Aesthetics and Vein Care, Inc
• Emerge- the Counseling and Coaching Center
• Kevin Jude Emery, D.C.
• Empire Radiology PC
• Empower & Inspire Therapeutic Services, LLC
• Empower ABA Therapy LLC
• TSZ Keung Eng

• Sports Physician Chiropractor in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.