Individual provider Active NPI

Jean Montecuollo, DC

  • Chiropractor
  • Parsippany, NJ
National Provider Identifier
1609923325
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00158600 Issued in NJ
Practice address
145 N Beverwyck Rd
Parsippany, NJ 07054-2231
Phone
(973) 334-5020
Fax
(973) 334-0629
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00158600 NJ Primary

Addresses

Primary practice location

145 N Beverwyck Rd
Parsippany, NJ 07054-2231

Mailing address

145 N Beverwyck Rd
Parsippany, NJ 07054-2231
Phone (973) 334-5020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090108000225 NJ Practitioner - Chiropractic 4587727193 Practice locations: Parsippany, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

145 N Beverwyck Rd
Parsippany, NJ 07054-2231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609923325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 N BEVERWYCK RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542231",
            "telephone_number": "973-334-5020",
            "fax_number": "973-334-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N BEVERWYCK RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542231",
            "telephone_number": "973-334-5020",
            "fax_number": "973-334-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTECUOLLO",
        "first_name": "JEAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00158600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.