Organization Active NPI

Boonton Chiropractic Health Center,P.C.

  • Medical Specialty Clinic/Center
  • Boonton, NJ
National Provider Identifier
1710049564
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
38MCO277700 Issued in NM
Legal business name
BOONTON CHIROPRACTIC HEALTH CENTER,P.C.
Practice address
117 Cornelia St
Boonton, NJ 07005-1709
Phone
(973) 335-5400
Fax
(973) 335-9194
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ronald V Kern, B.S.,D.C.NPI 1306872247
Title
Chiropractor
Phone
(973) 335-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 38MCO277700 NM Primary

Addresses

Primary practice location

117 Cornelia St
Boonton, NJ 07005-1709

Mailing address

117 Cornelia St
Boonton, NJ 07005-1709
Phone (973) 335-5400

National Provider Directory

National Provider Directory
Tax ID family
Boonton Chiropractic Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

117 Cornelia St
Boonton, NJ 07005
Phone (973) 335-5400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710049564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CORNELIA ST",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051709",
            "telephone_number": "973-335-5400",
            "fax_number": "973-335-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CORNELIA ST",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051709",
            "telephone_number": "973-335-5400",
            "fax_number": "973-335-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONTON CHIROPRACTIC HEALTH CENTER,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "973-335-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.S.,D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NM",
            "license": "38MCO277700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.