Individual provider Active NPI

Shawn Robert McKay

  • Chiropractor
  • Fairless Hills, PA
National Provider Identifier
1831597327
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00721400 Issued in NJ
Practice address
220 Trenton Rd
Fairless Hills, PA 19030-2714
Phone
(215) 932-3283
NPI assigned
Dec 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00721400 NJ Primary

Addresses

Primary practice location

220 Trenton Rd
Fairless Hills, PA 19030-2714

Mailing address

311 Newark Ave
Jersey City, NJ 07302-2347
Phone (201) 533-0055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151119001735 NJ Practitioner - Chiropractic 0941500151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Center for Joint and Spine Relief 5 clinicians

Practice addresses (Care Compare)

311 Newark Ave
Jersey City, NJ 07302-2347
Phone (201) 533-0055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00721400NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Joint and Spine Relief CurrentSince Sep 28, 2015 Accepting new patients
Ther Center for Joint & Spine Relief Chiropractor Past Accepting new patients

Locations

311 Newark Ave
Jersey City, NJ 07302
Phone (201) 533-0055

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1831597327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022347",
            "telephone_number": "201-533-0055",
            "fax_number": "201-533-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 TRENTON RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302714",
            "telephone_number": "215-932-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "SHAWN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00721400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairless Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.