Active NPI
Jeffrey Simoes Santos
- Independent Medical Examiner Chiropractor
- Middletown, NJ
National Provider Identifier
1659966919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Chiropractor
- License
- 38MC00780000
- Practice address
- 20 Cherry Tree Farm Rd
Middletown, NJ 07748-2251 - Phone
- (732) 402-7882
- NPI assigned
- Mar 8, 2021
- 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 |
|---|---|---|---|---|
| Independent Medical Examiner Chiropractor | 111NI0013X | 38MC00780000 | NJ | Primary |
Addresses
Primary practice location
20 Cherry Tree Farm Rd
Middletown, NJ 07748-2251
Mailing address
22 Stemler Dr
Cliffwood, NJ 07721-1508
Phone (732) 558-3256
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 |
|---|---|---|---|
| 38MC00780000 | NJ | MD | Independent Medical Examiner Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1659966919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 STEMLER DR",
"city": "CLIFFWOOD",
"state": "NJ",
"postal_code": "077211508",
"telephone_number": "732-558-3256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CHERRY TREE FARM RD",
"city": "MIDDLETOWN",
"state": "NJ",
"postal_code": "077482251",
"telephone_number": "732-402-7882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "JEFFREY",
"middle_name": "SIMOES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-08",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0013X",
"taxonomy_group": "",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "NJ",
"license": "38MC00780000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.