Monmouth Family Chiropractic

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

38MC00302100 Issued in NJ

Legal business name

MONMOUTH FAMILY CHIROPRACTIC

Practice address

740 Broad St
Shrewsbury, NJ 07702-4228

Phone

(732) 530-7711

NPI assigned

Oct 31, 2016

Organization subpart

No

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

Authorized official

Name

Alexandra Schultheiss

Title

Office Manager

Phone

(732) 768-2277

Specialties & licenses 1

Addresses

Tax ID family

Monmouth Family Chiropractic2 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.

• Monmouth Family Chiropractic, PC

  • Chiropractor
  • Shrewsbury, NJ
  • NPI 1255520888
  NPD tax ID

Locations

Practitioners 1

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

• Erick Waldemar Henderiks, CHIROPRACTOR DC

  • Chiropractor
  • Shrewsbury, NJ
  • NPI 1255441218
  NPD (past)

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1720530397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 BROAD ST",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 BROAD ST",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024228",
            "telephone_number": "732-530-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "SCHULTHEISS",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-768-2277"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "38MC00302100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monmouth County ICU Consortium, LLC
• Monmouth County Pain Management & Wellness Center
• Monmouth County Pain Management & Wellness Center LLC
• Monmouth County Pain Management and Wellness Center
• Monmouth ENT Associates, LLC
• Monmouth Family Chiropractic, PC
• Monmouth Pain and Rehabiliation PC
• Monmouth Spine Center LLC
• Evelyn Mora, LPTA
• Morganville Medical Associates, LLC

• Medical Specialty Clinic/Center in Shrewsbury, NJ
• Providers in Shrewsbury, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.