Corey Jensen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00763600 Issued in NJ

Practice address

100 Hollister Rd
Teterboro, NJ 07608-1148

Phone

(201) 365-6171

NPI assigned

Jul 11, 2019

Last updated

Mar 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jersey Wellness Center

  • Chiropractor
  • Denville, NJ
  • NPI 1881966547
  Medicare reassignment NPD

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742083200000",
    "number": "1679125496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 COUNTY ROAD 519",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "078254034",
            "telephone_number": "908-752-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOLLISTER RD",
            "city": "TETERBORO",
            "state": "NJ",
            "postal_code": "076081148",
            "telephone_number": "201-365-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "COREY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-11",
        "last_updated": "2025-03-16",
        "certification_date": "2025-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00763600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC",
            "identifier": "38MC00763600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Holl, BA
• Shauna Nicole Huber
• Stephanie M Hunter
• Infinity Diagnostics Laboratory, Inc
• Basem F Iskaros, M.D.
• Pawel Kaminski
• Sheila Kim, DC
• Guanghui Kong, MD, PHD
• Kelly Lebow
• Christine J. Lidestri, LCSW

• Chiropractor in Teterboro, NJ
• Providers in Teterboro, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.