NPIMap

Organization Active NPI

Haveron Total Health, PA

  • Chiropractor
  • Elizabeth, NJ
National Provider Identifier
1821283490
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00344800 Issued in NJ
Legal business name
HAVERON TOTAL HEALTH, PA
Practice address
909 Elizabeth Ave
Elizabeth, NJ 07201-2710
Phone
(908) 629-0779
Fax
(908) 629-0804
NPI assigned
Sep 7, 2007
Last updated
Sep 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Dr. Thomas M. Haveron, DC
Title
Owner
Phone
(908) 629-0779

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00344800 NJ Primary
Physical Therapist 225100000X 40QA01050700 NJ

Addresses

Primary practice location

909 Elizabeth Ave
Elizabeth, NJ 07201-2710

Mailing address

909 Elizabeth Ave
Elizabeth, NJ 07201-2710
Phone (908) 629-0779

National Provider Directory

National Provider Directory
Tax ID family
Haveron Total Health PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

909 Elizabeth Ave
Elizabeth, NJ 07201
Phone (908) 629-0779

Practitioners & affiliated clinicians

Practitioners 2

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": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1821283490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012710",
            "telephone_number": "908-629-0779",
            "fax_number": "908-629-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012710",
            "telephone_number": "908-629-0779",
            "fax_number": "908-629-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVERON TOTAL HEALTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "HAVERON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-629-0779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00344800",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01050700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.