NPIMap

Organization Active NPI

Monmouth Associated Spine & Rehabilitation Center

  • Chiropractor
  • Howell, NJ
National Provider Identifier
1740453992
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00546300 Issued in NJ
Legal business name
MONMOUTH ASSOCIATED SPINE & REHABILITATION CENTER
Practice address
49 Kent Road
Howell, NJ 07731-2452
Phone
(732) 901-2928
Fax
(732) 901-3980
NPI assigned
Apr 9, 2008
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Mr. Jeffrey J Lepoidevin, DCNPI 1437201589
Title
Partner
Phone
(732) 901-2928

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00546300 NJ Primary
Chiropractor 111N00000X 38MC00513700 NJ

Addresses

Primary practice location

49 Kent Road
Howell, NJ 07731-2452

Mailing address

49 Kent Road
Howell, NJ 07731-2452
Phone (732) 901-2928

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080618000071 NJ Part B Supplier - Clinic/Group Practice 2567533680 Receives reassigned benefits from 7 practitioners
Practice locations: Howell, NJ

National Provider Directory

National Provider Directory

Locations

4697 Route 9 N
Howell, NJ 07731
Phone (732) 901-2928

49 Kent Rd
Howell, NJ 07731
Phone (732) 901-2928

Practitioners & affiliated clinicians

Practitioners 9

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": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1740453992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 KENT ROAD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312452",
            "telephone_number": "732-901-2928",
            "fax_number": "732-901-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 KENT ROAD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312452",
            "telephone_number": "732-901-2928",
            "fax_number": "732-901-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH ASSOCIATED SPINE & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "LEPOIDEVIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-901-2928",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00546300",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00513700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.