Jude Marley Kernizan, DC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

38MC00791100 Issued in NJ

Practice address

187 Washington Ave Ste 2B
Nutley, NJ 07110-1995

Phone

(973) 661-0500

NPI assigned

Apr 5, 2022

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

Life Chiropractic College, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nicholas F. Stabile, DC, PC

  dba Family Chiropractic Center of Nutley

  • Chiropractor
  • Nutley, NJ
  • NPI 1487664652
  Medicare reassignment NPD
• Truespine Chiropractic LLC

  • Chiropractor
  • Nutley, NJ
  • NPI 1043005507
  NPD Authorized official

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1629719604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 WASHINGTON AVE",
            "address_2": "STE 2B",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101995",
            "telephone_number": "609-647-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 WASHINGTON AVE STE 2B",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101995",
            "telephone_number": "973-661-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNIZAN",
        "first_name": "JUDE",
        "middle_name": "MARLEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "38MC00791100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Joan Kaye, MSW LCSW
• Kaitlin Kelly, PHARMD
• Jenna Kennedy
• Justine Marie Kent, MD
• Ann Kerin
• Mark I Khaimov, DDS
• Mona Khedkar, M.D.
• Karen Kim
• Taylor J King
• Max Kirshblum

• Rehabilitation Chiropractor in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Rehabilitation Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.