Marc Frederick Jenkins, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

38MC00622500 Issued in NJ

Practice address

506 Main St
Bradley Beach, NJ 07720-1010

Phone

(732) 775-4448

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710039490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 MAIN ST",
            "city": "BRADLEY BEACH",
            "state": "NJ",
            "postal_code": "077201010",
            "telephone_number": "732-775-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 MAIN ST",
            "city": "BRADLEY BEACH",
            "state": "NJ",
            "postal_code": "077201010",
            "telephone_number": "732-775-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "MARC",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00622500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary D Gubitosi, PT, DPT
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• Kelley Higgins, NBC-HWC, MA
• Lauren G Hymanson
• Jane S Dougherty LPC LLC
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• Ezra N Klemow, PT, DPT, MS
• Kelly Klemow
• Laura Colleen Kumar, RD
• Stephen Anthony La Regina, ATC

• Sports Physician Chiropractor in Bradley Beach, NJ
• Providers in Bradley Beach, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.