Organization Active NPI

Jeffrey P. Orlikowski D.C.,P.a.

  • Chiropractor
  • Union City, NJ
National Provider Identifier
1598034001
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00399600 Issued in NJ
Legal business name
JEFFREY P. ORLIKOWSKI D.C.,P.A.
Practice address
414 35TH St
Union City, NJ 07087-3951
Phone
(201) 864-6666
Fax
(201) 864-9336
NPI assigned
Dec 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Maria E Orlikowski
Title
Secretary
Phone
(201) 864-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00399600 NJ Primary

Addresses

Primary practice location

414 35TH St
Union City, NJ 07087-3951

Mailing address

414 35TH St
Union City, NJ 07087-3951
Phone (201) 864-6666

Other identifiers 6

IdentifierTypeStateIssuer
661202OtherNJOPTUM HEALTH
670912OtherNJMEDICARE ID
350055659OtherNJPALMETTO GBA RAILROAD MEDICARE
4410188OtherNJAETNA
12285150OtherNJCAQH
4843100MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120111000289 NJ Part B Supplier - Clinic/Group Practice 7911174115 Receives reassigned benefits from 1 practitioner
Practice locations: Union City, NJ

National Provider Directory

National Provider Directory

Locations

414 35th St
Union City, NJ 07087
Phone (201) 864-6666

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1598034001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 35TH ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873951",
            "telephone_number": "201-864-6666",
            "fax_number": "201-864-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 35TH ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873951",
            "telephone_number": "201-864-6666",
            "fax_number": "201-864-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY P. ORLIKOWSKI D.C.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "ORLIKOWSKI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "201-864-6666"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00399600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM HEALTH",
            "identifier": "661202",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "670912",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MEDICARE",
            "identifier": "350055659",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4410188",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12285150",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4843100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.