NPIMap

Organization Active NPI

Natural Healthcare Center of West End, LLC

  • Chiropractor
  • Long Branch, NJ
National Provider Identifier
1821284563
Registry record updated Sep 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00452500 Issued in NJ
Legal business name
NATURAL HEALTHCARE CENTER OF WEST END, LLC
Practice address
10 W End CT
Long Branch, NJ 07740-5172
Phone
(732) 222-2219
Fax
(732) 229-8863
NPI assigned
Sep 17, 2007
Last updated
Sep 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2007

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

Authorized official

Name
Dr. James Proodian, D.C.NPI 1477547636
Title
Owner
Phone
(732) 222-2219

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
Chiropractor 111N00000X 38MC00452500 NJ Primary

Addresses

Primary practice location

10 W End CT
Long Branch, NJ 07740-5172

Mailing address

10 W End CT
Long Branch, NJ 07740-5172
Phone (732) 222-2219

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040824000461 NJ Part B Supplier - Clinic/Group Practice 7911971148 Receives reassigned benefits from 8 practitioners
Practice locations: Long Branch, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189987200000",
    "number": "1821284563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W END CT",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405172",
            "telephone_number": "732-222-2219",
            "fax_number": "732-229-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W END CT",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405172",
            "telephone_number": "732-222-2219",
            "fax_number": "732-229-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL HEALTHCARE CENTER OF WEST END, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-09-17",
        "status": "A",
        "authorized_official_last_name": "PROODIAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-222-2219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00452500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.