Active NPI
John Raymond Allen, D.C.
- Chiropractor
- Old Bridge, NJ
National Provider Identifier
1659418556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01422
- Practice address
- 2433 County Road 516
Suitea
Old Bridge, NJ 08857-1892 - Phone
- (732) 679-6880
- Fax
- (732) 679-7336
- NPI assigned
- Jan 31, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01422 | NJ | Primary |
Addresses
Primary practice location
2433 County Road 516
Suitea
Old Bridge, NJ 08857-1892
Mailing address
2433 County Road 516
Suitea
Old Bridge, NJ 08857-1892
Phone (732) 679-6880
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P1595719 | Other | NJ | OXFORD |
| 90053022 | Other | NJ | CIGNAPPO |
| 90053022003 | Other | NJ | HMO |
| X4A511 | Other | NJ | EMPIRE HEALTH |
| MC001422 | Other | NJ | HIP NEW YORK |
| 0031275 | Other | NJ | GHI |
| 459758 | Other | NJ | UNITED HEALTHCARE |
| 0691997000 | Other | NJ | AMERIHEALTH |
| 0783645 | Other | NJ | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01422 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1659418556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2433 COUNTY ROAD 516",
"address_2": "SUITEA",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088571892",
"telephone_number": "732-679-6880",
"fax_number": "732-679-7336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2433 COUNTY ROAD 516",
"address_2": "SUITEA",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088571892",
"telephone_number": "732-679-6880",
"fax_number": "732-679-7336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "JOHN",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "01422",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1595719",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNAPPO",
"identifier": "90053022",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO",
"identifier": "90053022003",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE HEALTH",
"identifier": "X4A511",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP NEW YORK",
"identifier": "MC001422",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0031275",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "459758",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0691997000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0783645",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.