Organization Active NPI

Katimark Company, Inc

  • Chiropractor
  • Galloway, NJ
National Provider Identifier
1790731149
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00330200 Issued in NJ
Legal business name
KATIMARK COMPANY, INC
Practice address
161 W White Horse Pike
Galloway, NJ 08205-9447
Phone
(699) 748-8800
Fax
(609) 748-2855
NPI assigned
May 26, 2006
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. Richard V Lolla, DCNPI 1841244985
Title
President
Phone
(609) 748-8800

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00330200 NJ Primary

Addresses

Primary practice location

161 W White Horse Pike
Galloway, NJ 08205-9447

Mailing address

161 W White Horse Pike
Galloway, NJ 08205-9447
Phone (699) 748-8800

Other names 1

  • LOLLA CHIROPRACTIC CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060718000025 NJ Part B Supplier - Clinic/Group Practice 2062425028 Receives reassigned benefits from 1 practitioner
Practice locations: Galloway, NJ

National Provider Directory

National Provider Directory

Locations

161 W White Horse Pike
Galloway, NJ 08205
Phone (609) 748-8800

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790731149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 W WHITE HORSE PIKE",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059447",
            "telephone_number": "699-748-8800",
            "fax_number": "609-748-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 W WHITE HORSE PIKE",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059447",
            "telephone_number": "699-748-8800",
            "fax_number": "609-748-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIMARK COMPANY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOLLA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-748-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00330200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOLLA CHIROPRACTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galloway, 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.