Millburn Chiropractic Arts – Chiropractor

Key facts

NPI: 1790716389
Entity type: Organization (NPI type 2)
Primary specialty: Chiropractor 111N00000X
License: 38MC00626300 (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
Organization subpart: No

Authorized official

Name: Dr. Rachel Baluyot-Escusa, D.C.
Title: Doctor of Chiropractic
Phone: (973) 467-3993

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Rachel Baluyot, D.C. Chiropractor · Millburn, NJ · NPI 1891748349

Medicare reassignment NPD CHIROPRACTOR · NJ

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NJ

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20060912000187	NJ	Part B Supplier - Clinic/Group Practice	2567466246	Receives reassigned benefits from 1 practitioner Practice locations: Millburn, NJ

National Provider Directory

Locations

68 Essex St
Millburn, NJ 07041
Phone (908) 484-4204

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor Group: 193400000X SINGLE SPECIALTY GROUP	111N00000X	38MC00626300	NJ	Yes

Addresses

Primary practice location

68 Essex St
Millburn, NJ 07041-1635

Mailing address

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "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

All providers in Millburn, NJ · Chiropractor in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.