Individual provider Active NPI

Joannie Connor-Charles, DC

  • Chiropractor
  • Middletown, NJ
National Provider Identifier
1629373626
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011790 Issued in IL
Practice address
1275 Route 35 Ste 6
Middletown, NJ 07748-2000
Phone
(732) 739-3345
NPI assigned
Jan 21, 2011
Last updated
Apr 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011790 IL Primary

Addresses

Primary practice location

1275 Route 35 Ste 6
Middletown, NJ 07748-2000

Mailing address

108 Cap LN
Middlesex, NJ 08846-2138
Phone (908) 202-0796

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141119001692 NJ Practitioner - Chiropractic 5799967758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Chiropractic and Wellness CenterGroup PAC ID 0446218838, 4 clinicians

Practice addresses (Care Compare)

1275 Route 35
Suite 6
Middletown, NJ 07748-2000
Phone (732) 739-3345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Chiropractic & Wellness Center Chiropractor CurrentSince Dec 16, 2024 Accepting new patients
Chiro One Wellness Center of West Chicago LLC Chiropractor Past Accepting new patients
Chiro One Wellness Center of Bloomingdale LLC Chiropractor PastSince Mar 7, 2014 Accepting new patients

Locations

1275 State Route 35
Ste 6
Middletown, NJ 07748
Phone (732) 739-3345

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1629373626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CAP LN",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088462138",
            "telephone_number": "908-202-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 ROUTE 35 STE 6",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482000",
            "telephone_number": "732-739-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR-CHARLES",
        "first_name": "JOANNIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.