Individual provider Active NPI

William J Weaver, D.C.

  • Chiropractor
  • East Brunswick, NJ
National Provider Identifier
1700914397
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00335200 Issued in NJ
Practice address
385 State Route 18 Ste F
East Brunswick, NJ 08816-5703
Phone
(732) 238-5420
Fax
(732) 238-5421
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00335200 NJ Primary

Addresses

Primary practice location

385 State Route 18 Ste F
East Brunswick, NJ 08816-5703

Mailing address

385 State Route 18 Ste F
East Brunswick, NJ 08816-5703
Phone (732) 238-5420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1700914397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 STATE ROUTE 18 STE F",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165703",
            "telephone_number": "732-238-5420",
            "fax_number": "732-238-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 STATE ROUTE 18 STE F",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165703",
            "telephone_number": "732-238-5420",
            "fax_number": "732-238-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00335200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.