Organization Active NPI

Millburn Chiropractic Arts

  • Chiropractor
  • Millburn, NJ
National Provider Identifier
1790716389
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00626300 Issued in NJ
Legal business name
MILLBURN CHIROPRACTIC ARTS
Practice address
68 Essex St
Millburn, NJ 07041-1635
Phone
(973) 467-3993
NPI assigned
Jul 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Rachel Baluyot-Escusa, D.C.
Title
Doctor of Chiropractic
Phone
(973) 467-3993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00626300 NJ Primary

Addresses

Primary practice location

68 Essex St
Millburn, NJ 07041-1635

Mailing address

68 Essex St
Millburn, NJ 07041-1635
Phone (973) 467-3993

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060912000187 NJ Part B Supplier - Clinic/Group Practice 2567466246 Receives reassigned benefits from 1 practitioner
Practice locations: Millburn, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790716389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 ESSEX ST",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411635",
            "telephone_number": "973-467-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 ESSEX ST",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411635",
            "telephone_number": "973-467-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLBURN CHIROPRACTIC ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALUYOT-ESCUSA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "973-467-3993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00626300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, 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.
  • 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.