Organization Active NPI

Central Jersey Chiropractic, PC

  • Chiropractor
  • Englishtown, NJ
National Provider Identifier
1720404387
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CENTRAL JERSEY CHIROPRACTIC, PC
Practice address
176 Route 9 Ste 204
Englishtown, NJ 07726-9220
Phone
(917) 750-5111
NPI assigned
Mar 6, 2014
Last updated
Mar 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Authorized official

Name
Dr. Frank J Mandarino, DCNPI 1639234255
Title
Owner
Phone
(917) 750-5111

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

176 Route 9 Ste 204
Englishtown, NJ 07726-9220

Mailing address

312 Sinclair CT
Morganville, NJ 07751-2034

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140910001044 NJ Part B Supplier - Clinic/Group Practice 8820217672 Receives reassigned benefits from 6 practitioners
Practice locations: Morganville, NJ

National Provider Directory

National Provider Directory

Locations

176 US Highway 9
Ste 204
Englishtown, NJ 07726
Phone (732) 374-9523

436 State Route 79
Ste 21
Morganville, NJ 07751
Phone (432) 617-8000

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1720404387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SINCLAIR CT",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077512034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 ROUTE 9 STE 204",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077269220",
            "telephone_number": "917-750-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL JERSEY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "MANDARINO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-750-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englishtown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.