Active NPI
William Benjamin Nadelberg, D.C.
- Chiropractor
- West Orange, NJ
National Provider Identifier
1669419982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00201200
- Practice address
- 494 Prospect Ave
West Orange, NJ 07052-4112 - Phone
- (973) 736-9797
- Fax
- (973) 736-4539
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 38MC00201200 | NJ | Primary |
Addresses
Primary practice location
494 Prospect Ave
West Orange, NJ 07052-4112
Mailing address
494 Prospect Ave
West Orange, NJ 07052-4112
Phone (973) 736-9797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
494 Prospect Ave
West Orange, NJ 07052-4112
Phone (973) 736-9797
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00201200 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primal Integrative Health LLC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- West Orange, NJ
- NPI 1386817617
-
- Chiropractor
- West Orange, NJ
- NPI 1154240901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1669419982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "494 PROSPECT AVE",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070524112",
"telephone_number": "973-736-9797",
"fax_number": "973-736-4539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "494 PROSPECT AVE",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070524112",
"telephone_number": "973-736-9797",
"fax_number": "973-736-4539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADELBERG",
"first_name": "WILLIAM",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00201200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.