Organization Active NPI

Performance Health of New Jersey PA

  • Chiropractor
  • Ramsey, NJ
National Provider Identifier
1780352625
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PERFORMANCE HEALTH OF NEW JERSEY PA
Practice address
46 N Central Ave
Ramsey, NJ 07446-1864
Phone
(888) 926-1223
NPI assigned
Sep 4, 2021
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Dr. Michael R Ingui, DCNPI 1124419486
Title
Chairman
Phone
(201) 962-9066

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Acupuncturist 171100000X NU
Physical Therapist 225100000X NU

Addresses

Primary practice location

46 N Central Ave
Ramsey, NJ 07446-1864

Mailing address

46 N Central Ave
Ramsey, NJ 07446-1864
Phone (888) 926-1223

Other practice location 1

725 River Rd Ste 113
Edgewater, NJ 07020-1149
Phone (201) 962-9066

Other practice location 2

19-03 Maple Ave Ste 2
Fair Lawn, NJ 07410-1553
Phone (201) 962-9066

Other practice location 3

222 Hamilton St
Bound Brook, NJ 08805-2017
Phone (201) 962-9066

Other practice location 4

226 Middle Rd Ste 1
Hazlet, NJ 07730-1946
Phone (201) 962-9066

Other practice location 5

699 Kearny Ave
Kearny, NJ 07032-3003
Phone (201) 962-9066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220504000004 NJ Part B Supplier - Clinic/Group Practice 3173910536 Receives reassigned benefits from 6 practitioners
Practice locations: Edgewater, NJ; Fair Lawn, NJ; Ramsey, NJ

National Provider Directory

National Provider Directory

Locations

699 Kearny Ave
Kearny, NJ 07032
Phone (201) 991-4285

46 N Central Ave
Ramsey, NJ 07446
Phone (201) 588-3491

Practitioners & affiliated clinicians

Practitioners 7

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": "1630713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1780352625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 N CENTRAL AVE",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461864",
            "telephone_number": "888-926-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 N CENTRAL AVE",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461864",
            "telephone_number": "888-926-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 River Rd Ste 113",
            "address_purpose": "LOCATION",
            "city": "Edgewater",
            "state": "NJ",
            "postal_code": "070201149",
            "country_code": "US",
            "telephone_number": "201-962-9066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19-03 Maple Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Fair Lawn",
            "state": "NJ",
            "postal_code": "074101553",
            "country_code": "US",
            "telephone_number": "201-962-9066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Hamilton St",
            "address_purpose": "LOCATION",
            "city": "Bound Brook",
            "state": "NJ",
            "postal_code": "088052017",
            "country_code": "US",
            "telephone_number": "201-962-9066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 Middle Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Hazlet",
            "state": "NJ",
            "postal_code": "077301946",
            "country_code": "US",
            "telephone_number": "201-962-9066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "699 Kearny Ave",
            "address_purpose": "LOCATION",
            "city": "Kearny",
            "state": "NJ",
            "postal_code": "070323003",
            "country_code": "US",
            "telephone_number": "201-962-9066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERFORMANCE HEALTH OF NEW JERSEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-04",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "INGUI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "201-962-9066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.