Individual provider Active NPI

Daniel O'Donnell Jr., D.C.

  • Chiropractor
  • Northfield, NJ
National Provider Identifier
1700106499
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00693400 Issued in NJ
Practice address
1907 New Rd
Northfield, NJ 08225-1545
Phone
(609) 569-1040
Fax
(609) 241-0041
NPI assigned
Jun 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00693400 NJ Primary
Chiropractor 111N00000X DC010433 PA

Addresses

Primary practice location

1907 New Rd
Northfield, NJ 08225-1545

Mailing address

514 N Cornwall Ave
Ventnor City, NJ 08406-1356

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120313000788 NJ Practitioner - Chiropractic 3678732591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Institute for Pain ReliefGroup PAC ID 0648622217, 11 clinicians
Barry H. Rizzo, Jr. D.C., LLCGroup PAC ID 5395816706, 3 clinicians

Practice addresses (Care Compare)

401 New Rd
Suite 210
Linwood, NJ 08221-1200
Phone (609) 601-2191

438 Commons Way
Building D
Toms River, NJ 08755-6428
Phone (732) 797-1771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00693400NJMDChiropractor
DC010433PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Institute for Pain Relief Chiropractor CurrentSince Oct 27, 2025 Accepting new patients
Barry H. Rizzo, Jr. D.C., LLC Chiropractor CurrentSince Jan 3, 2012 Accepting new patients

Locations

401 New Rd
Ste 210
Linwood, NJ 08221
Phone (609) 601-2159

438 Commons Way
Bldg D
Toms River, NJ 08755
Phone (609) 601-2191

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1700106499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 N CORNWALL AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084061356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 NEW RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251545",
            "telephone_number": "609-569-1040",
            "fax_number": "609-241-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00693400",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.