Charles Collins, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

38MC00220100 Issued in NJ

Practice address

6 Pompton Ave
Suite 25
Cedar Grove, NJ 07009-2042

Phone

(973) 239-0262

Fax

(973) 239-8990

NPI assigned

Aug 16, 2005

Reactivated

Mar 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• All Essex Chiropractic, Inc.

  • Chiropractor
  • Cedar Grove, NJ
  • NPI 1427466689
  NPD (past) Authorized official
• Pompton Chiropractic and Athletic Trauma Center, PA

  • Chiropractor
  • Cedar Grove, NJ
  • NPI 1235319799
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1619969839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 POMPTON AVE",
            "address_2": "SUITE 25",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070092042",
            "telephone_number": "973-239-0262",
            "fax_number": "973-857-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 POMPTON AVE",
            "address_2": "SUITE 25",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070092042",
            "telephone_number": "973-239-0262",
            "fax_number": "973-239-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2014-07-28",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00220100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CG Healthcare LLC
• Mira Champaneria, LPC
• Ratan Bala Chaturvedi, MD
• Lorraine Chorazy, R.N., L.AC.
• Morgan Rylee Clemente
• Danielle Colte
• Complete Care at St Vincents LLC
• Complete Care at Waterview LLC
• Vincent Mark Corso, M.DIV. M.S.W. L.S.W.
• Counseling Center of Essex

• Sports Physician Chiropractor in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.