Organization Active NPI

Seacoast Family Chiropractic, P.C.

  • Chiropractor
  • Point Pleasant Beach, NJ
National Provider Identifier
1891730297
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00480700 Issued in NJ
Legal business name
SEACOAST FAMILY CHIROPRACTIC, P.C.
Practice address
512 Arnold Ave
Point Pleasant Beach, NJ 08742-2562
Phone
(732) 295-4900
Fax
(732) 295-8877
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Barbara Costa, DCNPI 1407891831
Title
Director
Phone
(732) 295-4900

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 38MC00480700 NJ Primary

Addresses

Primary practice location

512 Arnold Ave
Point Pleasant Beach, NJ 08742-2562

Mailing address

512 Arnold Ave
Point Pleasant Beach, NJ 08742-2562
Phone (732) 295-4900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110112000298 NJ Part B Supplier - Clinic/Group Practice 3577752294 Receives reassigned benefits from 2 practitioners
Practice locations: Point Pleasant Beach, NJ

National Provider Directory

National Provider Directory

Locations

512 Arnold Ave
Pt Pleasant Beach, NJ 08742
Phone (732) 295-4900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1891730297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 ARNOLD AVE",
            "city": "POINT PLEASANT BEACH",
            "state": "NJ",
            "postal_code": "087422562",
            "telephone_number": "732-295-4900",
            "fax_number": "732-295-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 ARNOLD AVE",
            "city": "POINT PLEASANT BEACH",
            "state": "NJ",
            "postal_code": "087422562",
            "telephone_number": "732-295-4900",
            "fax_number": "732-295-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-295-4900",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00480700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant Beach, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.