Individual provider Active NPI

Norayr Ozbalik, D.C.

  • Chiropractor
  • Edison, NJ
National Provider Identifier
1861432684
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC04226 Issued in NJ
Practice address
3840 Park Ave
Suite D108
Edison, NJ 08820-2563
Phone
(732) 902-2302
Fax
(732) 902-2305
NPI assigned
Jun 8, 2006
Last updated
Feb 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC04226 NJ Primary

Addresses

Primary practice location

3840 Park Ave
Suite D108
Edison, NJ 08820-2563

Mailing address

3840 Park Ave
Suite D108
Edison, NJ 08820-2563
Phone (732) 902-2302

Other identifiers 6

IdentifierTypeStateIssuer
20820140000OtherNJAMERIHEALTH
0066109MedicaidNJ
217333OtherNJUNITED HEALTHCARE
2381661OtherNJAETNA US HEALTHCARE
P1885364OtherNJOXFORD HEALTH PLAN
X8Z38OtherNJWELLCHOICE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120305000361 NJ Practitioner - Chiropractic 8224297643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3840 Park Ave
Suite 108
Edison, NJ 08820-2563
Phone (732) 902-2302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC04226NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic and Wellness Center Chiropractor CurrentSince Jan 6, 2012 Accepting new patients

Locations

3840 Park Ave
#D108
Edison, NJ 08820
Phone (732) 295-0046

3840 Park Ave
Ste D108
Edison, NJ 08820
Phone (723) 902-2302

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1861432684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 PARK AVE",
            "address_2": "SUITE D108",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202563",
            "telephone_number": "732-902-2302",
            "fax_number": "732-902-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 PARK AVE",
            "address_2": "SUITE D108",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202563",
            "telephone_number": "732-902-2302",
            "fax_number": "732-902-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZBALIK",
        "first_name": "NORAYR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "20820140000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066109",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "217333",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "2381661",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P1885364",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCHOICE",
            "identifier": "X8Z38",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.