Organization Active NPI

Alan Kooreman & Dawn Di Muro PTRS

Doing business as Care Chiropractic Center

  • Chiropractor
  • Midland Park, NJ
National Provider Identifier
1710227343
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00302500 Issued in NJ
Legal business name
ALAN KOOREMAN & DAWN DI MURO PTRS
Doing business as
Care Chiropractic Center
Practice address
644 Godwin Ave
Midland Park, NJ 07432-1405
Phone
(201) 445-6200
Fax
(201) 445-6170
NPI assigned
Feb 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Authorized official

Name
Dr. Alan J Kooreman, DCNPI 1932139870
Title
Partner
Phone
(201) 445-6200

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00302500 NJ Primary

Addresses

Primary practice location

644 Godwin Ave
Midland Park, NJ 07432-1405

Mailing address

644 Godwin Ave
Midland Park, NJ 07432-1405
Phone (201) 445-6200

Other names 1

  • Care Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130322000341 NJ Part B Supplier - Clinic/Group Practice 1759526783 Receives reassigned benefits from 1 practitioner
Practice locations: Midland Park, NJ

National Provider Directory

National Provider Directory

Locations

644 Godwin Ave
Midland Park, NJ 07432
Phone (201) 445-6200

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": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1710227343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 GODWIN AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321405",
            "telephone_number": "201-445-6200",
            "fax_number": "201-445-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 GODWIN AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321405",
            "telephone_number": "201-445-6200",
            "fax_number": "201-445-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN KOOREMAN & DAWN DI MURO PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "KOOREMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "201-445-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00302500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.