Organization Active NPI

Stellar Chiropractic P.C.

  • Health Service Clinic/Center
  • New Brunswick, NJ
National Provider Identifier
1629428651
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
38MC00628300 Issued in NJ
Legal business name
STELLAR CHIROPRACTIC P.C.
Practice address
330 Livingston Ave
Suite 1B
New Brunswick, NJ 08901-3469
Phone
(917) 776-9050
NPI assigned
Jun 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Authorized official

Name
Dr. David Srulevich, D.C.
Title
President
Phone
(917) 776-9050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 38MC00628300 NJ Primary

Addresses

Primary practice location

330 Livingston Ave
Suite 1B
New Brunswick, NJ 08901-3469

Mailing address

PO Box 216
Hazlet, NJ 07730-0216
Phone (917) 776-9050

National Provider Directory

National Provider Directory

Locations

330 Livingston Ave
Ste 1B
New Brunswick, NJ 08901
Phone (917) 776-9050

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1629428651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077300216",
            "telephone_number": "917-776-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LIVINGSTON AVE",
            "address_2": "SUITE 1B",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089013469",
            "telephone_number": "917-776-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "SRULEVICH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-776-9050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NJ",
            "license": "38MC00628300",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 21, 2016; 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.