West Park Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC005167000 Issued in NJ

Legal business name

WEST PARK CHIROPRACTIC CENTER

Practice address

780 W Park Ave
Oakhurst, NJ 07755-1028

Phone

(732) 517-1090

Fax

(732) 517-1096

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Jason Fisher, DCNPI 1720178759

Title

Owner

Phone

73251710990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• David Jason Fisher, DC

  • Chiropractor
  • Oakhurst, NJ
  • NPI 1720178759
  Medicare reassignment Care Compare group Authorized official
• Glenn Anthony Grieco, DC

  • Chiropractor
  • Oakhurst, NJ
  • NPI 1578609608
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1740462571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 W PARK AVE",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077551028",
            "telephone_number": "732-517-1090",
            "fax_number": "732-517-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 W PARK AVE",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077551028",
            "telephone_number": "732-517-1090",
            "fax_number": "732-517-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PARK CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "73251710990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC005167000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romaisa Waseem, DMD
• Tanya V Weissman, M.D.
• Wellness-at-Home
• Wellness-at-Home
• Wellness-at-Home LLC
• West Park Medical LLC
• Michael Craig Wisotsky, PHARMD
• Allison Wospil, DPT
• Caitlin Yesis, AU.D.
• Zarish Zainab, PHARMACIST

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.