Organization Active NPI

Callahan Family Chiropractic and Rehabilitation Center

  • Rehabilitation Chiropractor
  • New Brunswick, NJ
National Provider Identifier
1619189719
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
MCOO609100 Issued in NJ
Legal business name
CALLAHAN FAMILY CHIROPRACTIC AND REHABILITATION CENTER
Practice address
93 Bayard St
New Brunswick, NJ 08901-2101
Phone
(732) 448-1616
Fax
(732) 448-1717
NPI assigned
May 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michaelene Callahan, D.C.NPI 1366564254
Title
President
Phone
(732) 448-1616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X MCOO609100 NJ Primary

Addresses

Primary practice location

93 Bayard St
New Brunswick, NJ 08901-2101

Mailing address

93 Bayard St
New Brunswick, NJ 08901-2101
Phone (732) 448-1616

Other identifiers 1

IdentifierTypeStateIssuer
0035815MedicaidNJ

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619189719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 BAYARD ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012101",
            "telephone_number": "732-448-1616",
            "fax_number": "732-448-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 BAYARD ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012101",
            "telephone_number": "732-448-1616",
            "fax_number": "732-448-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLAHAN FAMILY CHIROPRACTIC AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "MICHAELENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-448-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "MCOO609100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035815",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.