Active NPI
John Winn, DC
- Chiropractor
- Saddle River, NJ
National Provider Identifier
1871705285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00139600
- Practice address
- 10 Woodcliff Lake Rd
Saddle River, NJ 07458-3006 - Phone
- (201) 825-7808
- Fax
- (201) 327-6907
- NPI assigned
- May 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00139600 | NJ | Primary |
Addresses
Primary practice location
10 Woodcliff Lake Rd
Saddle River, NJ 07458-3006
Mailing address
10 Woodcliff Lake Rd
Saddle River, NJ 07458-3006
Phone (201) 825-7808
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35216389C | Medicaid | NJ | |
| 0102211000 | Other | NJ | AMERIHEALTH ID NUMBER |
| BC00975 | Other | NJ | BLUE CROSS BLUE SHIELD ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111202000119 | NJ | Practitioner - Chiropractic | 4082889092 | Practice locations: Saddle River, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Columbia Institute Chiropractic, 1973
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10 Woodcliff Lake Rd
Saddle River, NJ 07458-3006
Phone (201) 825-7808
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1871705285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WOODCLIFF LAKE RD",
"city": "SADDLE RIVER",
"state": "NJ",
"postal_code": "074583006",
"telephone_number": "201-825-7808",
"fax_number": "201-327-6907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WOODCLIFF LAKE RD",
"city": "SADDLE RIVER",
"state": "NJ",
"postal_code": "074583006",
"telephone_number": "201-825-7808",
"fax_number": "201-327-6907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINN",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-06",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00139600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35216389C",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH ID NUMBER",
"identifier": "0102211000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ID",
"identifier": "BC00975",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saddle River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.