Individual provider Active NPI

Jonathan David Karnitsky, D.C.

  • Chiropractor
  • Ledgewood, NJ
National Provider Identifier
1629130653
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00679500 Issued in NJ
Practice address
14 Lazarus Dr
Ledgewood, NJ 07852-2341
Phone
(973) 584-0009
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010099-1 NY
Chiropractor 111N00000X 38MC00679500 NJ Primary

Addresses

Primary practice location

14 Lazarus Dr
Ledgewood, NJ 07852-2341

Mailing address

76 Orchard LN
Berkeley Heights, NJ 07922-2458
Phone (917) 447-1397

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111006000134 NJ Practitioner - Chiropractic 1951399575 Practice locations: Ledgewood, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14 Lazarus Dr
Ledgewood, NJ 07852-2341
Phone (973) 584-0009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00679500NJMDChiropractor
X010099-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthmakers Medical Group, P.C. Chiropractor Past Accepting new patients

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1629130653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 ORCHARD LN",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222458",
            "telephone_number": "917-447-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 LAZARUS DR",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078522341",
            "telephone_number": "973-584-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARNITSKY",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010099-1",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00679500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ledgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.