John D. Krisciunas Jr. D.C., P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00486700 Issued in NJ

Legal business name

JOHN D. KRISCIUNAS JR. D.C., P.C.

Doing business as

Performance Chiropractic and Rehab Center

Practice address

860 Route 168
Suite 104
Turnersville, NJ 08012-3215

Phone

(856) 401-9550

Fax

(856) 401-9551

NPI assigned

Dec 14, 2006

Last updated

Feb 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Daniel Krisciunas Jr., D.C.NPI 1902869142

Title

President

Phone

(856) 401-9550

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Performance Chiropractic and Rehab Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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.

• John Daniel Krisciunas Jr., D.C.

  • Sports Physician Chiropractor
  • Turnersville, NJ
  • NPI 1902869142
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298764800000",
    "number": "1851453138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 ROUTE 168",
            "address_2": "SUITE 104",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123215",
            "telephone_number": "856-401-9550",
            "fax_number": "856-401-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 ROUTE 168",
            "address_2": "SUITE 104",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123215",
            "telephone_number": "856-401-9550",
            "fax_number": "856-401-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. KRISCIUNAS JR. D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2011-02-27",
        "status": "A",
        "authorized_official_last_name": "KRISCIUNAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-401-9550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00486700",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00486700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "5002456",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BCBS PROVIDER ID",
            "identifier": "000150906",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO ID",
            "identifier": "0172698000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "0939277",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE PROVIDER ID",
            "identifier": "0172698000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Chiropractic and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ian Jacobi
• Ritajeanne Jacobs-Culp, MS, LPC
• Monica Patel Jain, M.D.
• Paul Jang, DO
• Marko Jeftic
• Johnson Associates Systems, Inc.
• Sasha N Johnson, APN
• Andrew Thomas Johnstone, BC APN
• Jamilah Jones, LPC
• Jeffrey Jones

• Chiropractor in Turnersville, NJ
• Providers in Turnersville, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2011; 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.