NPIMap

Organization Active NPI

Chiropractic Health Clinic of Stewartsville LLC

  • Chiropractor
  • Stewartsville, NJ
National Provider Identifier
1750813200
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC HEALTH CLINIC OF STEWARTSVILLE LLC
Practice address
725 Route 57
Stewartsville, NJ 08886
Phone
(908) 454-2666
Fax
(908) 454-3315
NPI assigned
Apr 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Authorized official

Name
Mr. John J Willix, DCNPI 1467495150
Title
Owner/Chiropractor
Phone
(908) 454-2666

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X NJ Primary

Addresses

Primary practice location

725 Route 57
Stewartsville, NJ 08886

Mailing address

P.O. Box 26
725 Route 57
Stewartsville, NJ 08886
Phone (908) 454-2666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171030002756 NJ Part B Supplier - Clinic/Group Practice 6507132958 Receives reassigned benefits from 3 practitioners
Practice locations: Stewartsville, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1750813200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 26",
            "address_2": "725 ROUTE 57",
            "city": "STEWARTSVILLE",
            "state": "NJ",
            "postal_code": "08886",
            "telephone_number": "908-454-2666",
            "fax_number": "908-454-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 ROUTE 57",
            "city": "STEWARTSVILLE",
            "state": "NJ",
            "postal_code": "08886",
            "telephone_number": "908-454-2666",
            "fax_number": "908-454-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH CLINIC OF STEWARTSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "WILLIX",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "908-454-2666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stewartsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.