Enhanced Chiropractic Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00633400 Issued in NJ

Legal business name

ENHANCED CHIROPRACTIC CORP

Practice address

30 Jackson Rd
Suite A1
Medford, NJ 08055-9283

Phone

(609) 714-1107

NPI assigned

Dec 14, 2007

Last updated

Jul 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Ryan Kolonich, DC

Title

Doctor

Phone

(609) 714-1107

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1730362591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 JACKSON RD",
            "address_2": "SUITE A1",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 JACKSON RD",
            "address_2": "SUITE A1",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559283",
            "telephone_number": "609-714-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "KOLONICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "609-714-1107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00633400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730362591",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2765346000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "119956",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2765346000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HPE",
            "identifier": "2765346000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David F Eckel, DMD
• Eckerd Corporation (Rite Aid Pharmacy 10452)
• Lynn Eiding, NP
• Elaines Way LLC
• Elmlifelines
• Alfred Vasquez Enriquez, M.D.
• Allison Rae Epstein, MA, LPC
• Marissa Lynn Ercolani, RBT
• Bridget Esplund, PT, DPT
• Essentials Physical Therapy & Training

• Chiropractor in Medford, NJ
• Providers in Medford, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.