Individual provider Active NPI

Kelly Beshaw, DC

  • Chiropractor
  • Florham Park, NJ
National Provider Identifier
1700647591
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00815300 Issued in NJ
Practice address
171 Ridgedale Ave Ste a
Florham Park, NJ 07932-1764
Phone
(973) 377-6327
NPI assigned
Jan 18, 2024
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00815300 NJ Primary
Chiropractor 111N00000X CHIR011133 GA

Addresses

Primary practice location

171 Ridgedale Ave Ste a
Florham Park, NJ 07932-1764

Mailing address

171 Ridgedale Ave Ste a
Florham Park, NJ 07932-1764
Phone (973) 377-6327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251209003688 NJ Practitioner - Chiropractic 2365936143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

171 Ridgedale Ave
Suite a
Florham Park, NJ 07932-1764
Phone (973) 377-6327

171 Ridgedale Ave a
Rehab Center LLC
Florham Park, NJ 07932-1764

492 Springfield Ave
Berkeley Heights, NJ 07922-1112
Phone (908) 665-0770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR011133GAMDChiropractor
38MC00815300NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Physical Medicine and Rehab Center Chiropractor CurrentSince Nov 1, 2025 Accepting new patients
Total Health Physical Medicine & Rehabilitation Center, LLC Chiropractor CurrentSince Nov 1, 2025 Accepting new patients
Total Health Physical Medicine & Rehabilitation Center LLC Chiropractor Current Accepting new patients

Locations

171 Ridgedale Ave
Ste A
Florham Park, NJ 07932
Phone (973) 377-6327

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": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1700647591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 RIDGEDALE AVE STE A",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321764",
            "telephone_number": "973-377-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 RIDGEDALE AVE STE A",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321764",
            "telephone_number": "973-377-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESHAW",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00815300",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.