Individual provider Active NPI

Paul Francis Marston, D.C.

  • Rehabilitation Chiropractor
  • Kinnelon, NJ
National Provider Identifier
1659305290
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
MC3989 Issued in NJ
Practice address
300 Kakeout Rd
Suite B
Kinnelon, NJ 07405-2548
Phone
(973) 838-6252
Fax
(973) 838-4159
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X MC3989 NJ
Rehabilitation Chiropractor 111NR0400X MC3989 NJ Primary

Addresses

Primary practice location

300 Kakeout Rd
Suite B
Kinnelon, NJ 07405-2548

Mailing address

300 Kakeout Rd
Suite B
Kinnelon, NJ 07405
Phone (973) 838-6252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080529000648 NJ Practitioner - Chiropractic 8820168172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kayal Medical Group, LLCGroup PAC ID 2961894019, 76 clinicians

Practice addresses (Care Compare)

529 Goffle Rd
Wyckoff, NJ 07481-2937
Phone (844) 777-0910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC3989NJMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kinnelon Medical & Wellness Associates LLC CurrentSince Nov 1, 2016 Accepting new patients
Kayal Medical Group, LLC CurrentSince Aug 1, 2023 Accepting new patients
Kayal Orthopaedic Center, P.C. PastSince Jun 1, 2020 Accepting new patients

Locations

784 Franklin Ave
Ste 250
Franklin Lks, NJ 07417
Phone (201) 560-0711

300 Kakeout Rd
#A
Kinnelon, NJ 07405

300 Kakeout Rd
#B
Kinnelon, NJ 07405
Phone (973) 838-6252

12 Goffle Rd
Midland Park, NJ 07432
Phone (201) 447-2570

185 N Route 17
Ste 101
Paramus, NJ 07652
Phone (201) 560-0711

543 45th St
Union City, NJ 07087
Phone (201) 662-5437

529 Goffle Rd
Wyckoff, NJ 07481
Phone (201) 652-1010

Interoperability endpoints

  • Direct secure messaging: paul.marston@ko.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1659305290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KAKEOUT RD",
            "address_2": "SUITE B",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "07405",
            "telephone_number": "973-838-6252",
            "fax_number": "973-838-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KAKEOUT RD",
            "address_2": "SUITE B",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052548",
            "telephone_number": "973-838-6252",
            "fax_number": "973-838-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSTON",
        "first_name": "PAUL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "MC3989",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "MC3989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinnelon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.