Individual provider Active NPI

Christopher Kotwicki, DC

  • Chiropractor
  • Eatontown, NJ
National Provider Identifier
1720567118
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12504 Issued in FL
Practice address
7 Meridian Rd
Eatontown, NJ 07724-2242
Phone
(732) 935-1000
NPI assigned
Aug 7, 2018
Last updated
Aug 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12504 FL Primary

Addresses

Primary practice location

7 Meridian Rd
Eatontown, NJ 07724-2242

Mailing address

7 Meridian Rd
Eatontown, NJ 07724-2242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 E a Ave
Easley, SC 29640-2104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH12504FLMDChiropractor
5008SCMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Physical Medicine, Inc. Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1720567118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MERIDIAN RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MERIDIAN RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242242",
            "telephone_number": "732-935-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTWICKI",
        "first_name": "CHRISTOPHER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.