Individual provider Active NPI

Slade Scott Eigenmann

  • Chiropractor
  • Berkeley Heights, NJ
National Provider Identifier
1689264632
Registry record updated Jan 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00777900 Issued in NJ
Practice address
308 Springfield Ave Ste 1
Berkeley Heights, NJ 07922-1278
Phone
(908) 771-0220
NPI assigned
Jan 24, 2021
Last updated
Jan 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00777900 NJ Primary

Addresses

Primary practice location

308 Springfield Ave Ste 1
Berkeley Heights, NJ 07922-1278

Mailing address

44 Millers LN
Montville, NJ 07045-9500
Phone (973) 216-0164

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220302003091 NJ Practitioner - Chiropractic 4082008388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recharge Chiropractic and Sports Rehab LLCGroup PAC ID 7214389816, 2 clinicians

Practice addresses (Care Compare)

55 US Hwy 202
Far Hills, NJ 07931-2445
Phone (908) 956-3984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00777900NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Recharge Chiropractic and Sports Rehab LLC Chiropractor CurrentSince Dec 5, 2023 Accepting new patients

Locations

55 US Highway 202
Far Hills, NJ 07931
Phone (908) 956-3984

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611446400000",
    "number": "1689264632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MILLERS LN",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459500",
            "telephone_number": "973-216-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 SPRINGFIELD AVE STE 1",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221278",
            "telephone_number": "908-771-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIGENMANN",
        "first_name": "SLADE",
        "middle_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00777900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; 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.