NPIMap

Organization Active NPI

Cedar Brook Chiropractic LLC

  • Chiropractor
  • Berlin, NJ
National Provider Identifier
1598898017
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00418400 Issued in NJ
Legal business name
CEDAR BROOK CHIROPRACTIC LLC
Practice address
1 Myers Ave
Berlin, NJ 08009
Phone
(609) 561-1150
NPI assigned
Mar 13, 2007
Last updated
Jul 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Dr. Richard Wayne Dicicco, D.C.NPI 1073668265
Title
President
Phone
(609) 561-1150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00418400 NJ Primary

Addresses

Primary practice location

1 Myers Ave
Berlin, NJ 08009

Mailing address

P. O. Box 308
Cedar Brook, NJ 08018-0308
Phone (609) 561-1150

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1598898017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 308",
            "city": "CEDAR BROOK",
            "state": "NJ",
            "postal_code": "080180308",
            "telephone_number": "609-561-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MYERS AVE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "08009",
            "telephone_number": "609-561-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR BROOK CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "DICICCO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-561-1150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00418400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.