Organization Active NPI

Jersey Shore Chiropractic Center,LLC

  • Chiropractor
  • Forked River, NJ
National Provider Identifier
1871634121
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2499 Issued in NJ
Legal business name
JERSEY SHORE CHIROPRACTIC CENTER,LLC
Practice address
442 W. Lacey Rd
Forked River, NJ 08731-2436
Phone
(609) 693-2020
Fax
(609) 693-8330
NPI assigned
Feb 9, 2007
Last updated
Mar 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Dr. Kenneth B Zammito, D.C.NPI 1063691921
Title
Director
Phone
(609) 693-2020

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2499 NJ Primary

Addresses

Primary practice location

442 W. Lacey Rd
Forked River, NJ 08731-2436

Mailing address

442 W. Lacey Rd
Forked River, NJ 08731-2436
Phone (609) 693-2020

Other names 1

  • kenneth zammito, dc Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080306000122 NJ Part B Supplier - Clinic/Group Practice 4385729052 Receives reassigned benefits from 1 practitioner
Practice locations: Forked River, NJ

National Provider Directory

National Provider Directory

Locations

442 Lacey Rd
Forked River, NJ 08731
Phone (609) 693-2020

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1871634121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 W. LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312436",
            "telephone_number": "609-693-2020",
            "fax_number": "609-693-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 W. LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312436",
            "telephone_number": "609-693-2020",
            "fax_number": "609-693-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE CHIROPRACTIC CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "ZAMMITO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-693-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "2499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "kenneth zammito, dc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Forked River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.