Individual provider Active NPI

Seiichiro Ando, D.C., D.A.C.N.B.

  • Chiropractor
  • Edgewater, NJ
National Provider Identifier
1770758583
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00673300 Issued in NJ
Practice address
725 River Rd Ste 101
Edgewater, NJ 07020-1149
Phone
(201) 496-6066
Fax
(201) 496-6067
NPI assigned
Apr 23, 2008
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00673300 NJ Primary
Neurology Chiropractor 111NN0400X 38MC00673300 NJ

Addresses

Primary practice location

725 River Rd Ste 101
Edgewater, NJ 07020-1149

Mailing address

725 River Rd
Suite 101
Edgewater, NJ 07020-1171
Phone (201) 496-6066

Other identifiers 3

IdentifierTypeStateIssuer
276920YQJVOtherMEDICARE
165350YQJVOtherMEDICARE
165350OtherMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091022000607 NJ Practitioner - Chiropractic 5294872347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

725 River Rd
Suite 101
Edgewater, NJ 07020-1149
Phone (201) 496-6066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ando Chiropractic, LLC Chiropractor CurrentSince Aug 6, 2012 Accepting new patients

Locations

725 River Rd
Ste 101
Edgewater, NJ 07020
Phone (201) 496-6066

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1770758583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RIVER RD",
            "address_2": "SUITE 101",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201171",
            "telephone_number": "201-496-6066",
            "fax_number": "201-496-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RIVER RD STE 101",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201149",
            "telephone_number": "201-496-6066",
            "fax_number": "201-496-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDO",
        "first_name": "SEIICHIRO",
        "name_prefix": "Dr.",
        "credential": "D.C., D.A.C.N.B.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00673300",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NJ",
            "license": "38MC00673300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "276920YQJV",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "165350YQJV",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "165350",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.