Camkalllc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00469300 Issued in NJ

Legal business name

CAMKALLLC

Practice address

9 Mason Ave
Lincoln Park, NJ 07035-1623

Phone

(973) 686-1982

NPI assigned

Sep 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer N Mattiello Egan, D.C.

Title

President/Owner

Phone

(973) 714-1846

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1578896072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MASON AVE",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351623",
            "telephone_number": "973-686-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MASON AVE",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351623",
            "telephone_number": "973-686-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMKALLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "MATTIELLO EGAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "973-714-1846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00469300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Barrett, MASSAGE THERAPIST
• Beautiful Smiles Dentistry Inc.
• Isabella Beninate, CF-SLP
• Borough of Lincoln Park
• Anju Budhwani, M.D.
• Matthew Cannizzaro
• Jason P Carelis, PT, DPT
• Yanet Carpio
• Center for Family Support, New Jersey, Inc.
• CH Medical NC NJ, PC

• Chiropractor in Lincoln Park, NJ
• Providers in Lincoln Park, 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 15, 2009; 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.