Individual provider Active NPI

Stephen A. Jones, D.C.

  • Chiropractor
  • Waldwick, NJ
National Provider Identifier
1598860223
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00584200 Issued in NJ
Practice address
18 Wyckoff Avenue
Suite 201
Waldwick, NJ 07463
Phone
(201) 447-5757
Fax
(201) 447-5750
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001992 VA
Chiropractor 111N00000X 38MC00584200 NJ Primary

Addresses

Primary practice location

18 Wyckoff Avenue
Suite 201
Waldwick, NJ 07463

Mailing address

18 Wyckoff Avenue
Suite 201
Waldwick, NJ 07463
Phone (201) 447-5757

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070608000332 NJ Practitioner - Chiropractic 6709984115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen a Jones LLCGroup PAC ID 3971601394, 6 clinicians

Practice addresses (Care Compare)

18 Wyckoff Ave
Suite 201
Waldwick, NJ 07463-1778
Phone (201) 447-5757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00584200NJMDChiropractor
0104001992VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen a. Jones, L.L.C. Chiropractor CurrentSince May 15, 2007 Accepting new patients

Locations

18 Wyckoff Ave
Ste 201
Waldwick, NJ 07463
Phone (201) 447-5757

10 Franklin Tpke
Waldwick, NJ 07463
Phone (201) 251-0911

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1598860223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WYCKOFF AVENUE",
            "address_2": "SUITE 201",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "07463",
            "telephone_number": "201-447-5757",
            "fax_number": "201-447-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WYCKOFF AVENUE",
            "address_2": "SUITE 201",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "07463",
            "telephone_number": "201-447-5757",
            "fax_number": "201-447-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "STEPHEN",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001992",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00584200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldwick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.