Individual provider Active NPI

Casey L Cherubini, D.C.

  • Pediatric Chiropractor
  • Red Bank, NJ
National Provider Identifier
1699018218
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
6895 Issued in CO
Practice address
140 Maple Ave
Red Bank, NJ 07701-1716
Phone
(732) 784-0586
NPI assigned
Apr 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X 6895 CO Primary

Addresses

Primary practice location

140 Maple Ave
Red Bank, NJ 07701-1716

Mailing address

140 Maple Ave
Red Bank, NJ 07701-1716
Phone (303) 839-4325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220331000305 NJ Practitioner - Chiropractic 7113313149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

140 Maple Ave
Red Bank, NJ 07701-1716
Phone (732) 784-0586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6895COMDPediatric Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Families Chiropractic LLC CurrentSince Oct 20, 2024 Accepting new patients
Valones Chiropractic LLC PastSince May 21, 2023 Accepting new patients

Locations

140 Maple Ave
Red Bank, NJ 07701
Phone (631) 335-8401

Organizations & group practices 3

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": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1699018218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011716",
            "telephone_number": "303-839-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011716",
            "telephone_number": "732-784-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERUBINI",
        "first_name": "CASEY",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-02",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "CO",
            "license": "6895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.