Individual provider Active NPI

Alisun A Klingert, DC

  • Chiropractor
  • Mays Landing, NJ
National Provider Identifier
1780642017
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00621000 Issued in NJ
Practice address
800 RT 50 Ste #1H
Mays Landing, NJ 08330
Phone
(609) 909-9355
Fax
(609) 909-9353
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00621000 NJ Primary

Addresses

Primary practice location

800 RT 50 Ste #1H
Mays Landing, NJ 08330

Mailing address

800 RT 50 Ste #1H
Mays Landing, NJ 08330
Phone (609) 909-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060327000508 NJ Practitioner - Chiropractic 2365450756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1319 Old Zion Rd
Egg Harbor Township, NJ 08234-7638
Phone (609) 909-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00621000NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Klingert Chiropractic Wellness Center, LLC Chiropractor CurrentSince Jul 21, 2005 Accepting new patients

Locations

708 Route 50
Ste A
Mays Landing, NJ 08330
Phone (609) 909-9355

800 Route 50
Ste 1H
Mays Landing, NJ 08330
Phone (609) 909-9355

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780642017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 RT 50 STE #1H",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "08330",
            "telephone_number": "609-909-9355",
            "fax_number": "609-909-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RT 50 STE #1H",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "08330",
            "telephone_number": "609-909-9355",
            "fax_number": "609-909-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGERT",
        "first_name": "ALISUN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00621000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mays Landing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.