NPIMap

Organization Active NPI

Millennium Chiropractic Office, PC

  • Chiropractor
  • Elizabeth, NJ
National Provider Identifier
1770639601
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00624400 Issued in NJ
Legal business name
MILLENNIUM CHIROPRACTIC OFFICE, PC
Practice address
216 Palmer St
Elizabeth, NJ 07202-3918
Phone
(908) 289-3335
Fax
(908) 289-4601
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Blessen Abraham, DC
Title
Chiropractor
Phone
(908) 289-3335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00624400 NJ Primary

Addresses

Primary practice location

216 Palmer St
Elizabeth, NJ 07202-3918

Mailing address

216 Palmer St
Elizabeth, NJ 07202-3918
Phone (908) 289-3335

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770639601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 PALMER ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023918",
            "telephone_number": "908-289-3335",
            "fax_number": "908-289-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 PALMER ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023918",
            "telephone_number": "908-289-3335",
            "fax_number": "908-289-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM CHIROPRACTIC OFFICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "BLESSEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "908-289-3335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00624400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.