NPIMap

Organization Active NPI

Crestwood Manchester Chiropractic

  • Chiropractor
  • Manchester, NJ
National Provider Identifier
1720117252
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CRESTWOOD MANCHESTER CHIROPRACTIC
Practice address
2116 Highway 70
Manchester, NJ 08759
Phone
(732) 657-2225
Fax
(732) 657-2598
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Dr. Shari Dloss, D.C.NPI 1790850931
Title
Dr Owner
Phone
(732) 657-2225

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 Primary

Addresses

Primary practice location

2116 Highway 70
Manchester, NJ 08759

Mailing address

1229 Jasam CT
Toms River, NJ 08755-1356
Phone (732) 240-4810

Other identifiers 1

IdentifierTypeStateIssuer
941106OtherNYLANDMARK

National Provider Directory

National Provider Directory

Locations

550 Route 530
Ste 2
Whiting, NJ 08759
Phone (201) 350-2727

Practitioners & affiliated clinicians

Practitioners 6

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1720117252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 JASAM CT",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551356",
            "telephone_number": "732-240-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 HIGHWAY 70",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "08759",
            "telephone_number": "732-657-2225",
            "fax_number": "732-657-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTWOOD MANCHESTER CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "DLOSS",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "DR OWNER",
        "authorized_official_telephone_number": "732-657-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK",
            "identifier": "941106",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.