Individual provider Active NPI

John Marinkovic, D.C.

  • Chiropractor
  • Paramus, NJ
National Provider Identifier
1881753770
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00481300 Issued in NJ
Practice address
South 107 Farview Avenue
Suite C
Paramus, NJ 07652-2501
Phone
(201) 909-0502
Fax
(201) 909-0377
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00481300 NJ Primary

Addresses

Primary practice location

South 107 Farview Avenue
Suite C
Paramus, NJ 07652-2501

Mailing address

South 107 Farview Avenue
Suite C
Paramus, NJ 07652-2501
Phone (201) 909-0502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1881753770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SOUTH 107 FARVIEW AVENUE",
            "address_2": "SUITE C",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522501",
            "telephone_number": "201-909-0502",
            "fax_number": "201-909-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOUTH 107 FARVIEW AVENUE",
            "address_2": "SUITE C",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522501",
            "telephone_number": "201-909-0502",
            "fax_number": "201-909-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINKOVIC",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00481300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.