Kenneth M Kearstan, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

38MC00541500 Issued in NJ

Practice address

373 E Main St
Suite 10
Somerville, NJ 08876-3143

Phone

(908) 526-5868

Fax

(908) 253-9826

NPI assigned

Jun 8, 2006

Last updated

Jun 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Alexander J. Kishyk, D.C. LLC

  dba Somerset County Chiropactic Center

  • Chiropractor
  • Somerville, NJ
  • NPI 1992238729
  NPD (past)
• Somerset County Chiropractic Center, P.a.

  • Chiropractor
  • Somerville, NJ
  • NPI 1609813013
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1851332340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 E MAIN ST",
            "address_2": "SUITE 10",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088763143",
            "telephone_number": "908-526-5868",
            "fax_number": "908-253-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 E MAIN ST",
            "address_2": "SUITE 10",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088763143",
            "telephone_number": "908-526-5868",
            "fax_number": "908-253-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARSTAN",
        "first_name": "KENNETH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00541500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2178813",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7931030",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2559619",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denis Valentin Kapkov, M.D.
• Laura Karlsen, LCSW
• Vadim Kashtelyan, MD
• Joseph M Kaspareck Jr., MD
• Jasmeen Kaur, MD
• Laurie Schmall Kedersha, LCSW, CEAP
• Martha Kelly
• Robert A. Kempler
• Paul Francis Kenney Jr.
• Caitlin Kenny, LSW

• Sports Physician Chiropractor in Somerville, NJ
• Providers in Somerville, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.