Individual provider Active NPI

Robert Chickara, DC

  • Chiropractor
  • Freehold, NJ
National Provider Identifier
1659499366
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00653500 Issued in NJ
Practice address
3585 US Highway 9
Freehold, NJ 07728-2672
Phone
(732) 780-6230
Fax
(732) 780-6232
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00653500 NJ Primary

Addresses

Primary practice location

3585 US Highway 9
Freehold, NJ 07728-2672

Mailing address

83 South St Ste 204
Freehold, NJ 07728-2491
Phone (732) 780-6230

Other practice location 1

83 South St Ste 204
Freehold, NJ 07728-2491
Phone (732) 780-6230

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070605000162 NJ Practitioner - Chiropractic 3072544089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Rehability LLC.Group PAC ID 9638279250, 3 clinicians

Practice addresses (Care Compare)

83 S St
Suite 204
Freehold, NJ 07728-2491
Phone (732) 780-6230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00653500NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rehability LLC Chiropractor CurrentSince Mar 1, 2007 Accepting new patients
Rehability Sports Medicine, LLC Chiropractor CurrentSince Nov 6, 2019 Accepting new patients

Locations

3585 US Highway 9
Ste 51
Freehold, NJ 07728
Phone (732) 780-6230

83 South St
Ste 204
Freehold, NJ 07728
Phone (732) 780-6230

Organizations & group practices 2

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1659499366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 SOUTH ST STE 204",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282491",
            "telephone_number": "732-780-6230",
            "fax_number": "732-780-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 US HIGHWAY 9",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282672",
            "telephone_number": "732-780-6230",
            "fax_number": "732-780-6232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 South St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077282491",
            "country_code": "US",
            "telephone_number": "732-780-6230",
            "fax_number": "732-780-6232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHICKARA",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00653500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.