Individual provider Active NPI

James Charles Wolff, D.C.

  • Chiropractor
  • Perth Amboy, NJ
National Provider Identifier
1891761375
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00335600 Issued in NJ
Practice address
613 Amboy Ave
Perth Amboy, NJ 08861-2577
Phone
(732) 442-5552
Fax
(732) 324-0069
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00335600 NJ Primary

Addresses

Primary practice location

613 Amboy Ave
Perth Amboy, NJ 08861-2577

Mailing address

613 Amboy Ave
Perth Amboy, NJ 08861-2577
Phone (732) 442-5552

Other identifiers 1

IdentifierTypeStateIssuer
3331300MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120126000397 NJ Practitioner - Chiropractic 2264609569 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Perth Amboy Chiropractic Health Center, P.a. Chiropractor CurrentSince Jan 1, 1989 Accepting new patients

Locations

613 Amboy Ave
Perth Amboy, NJ 08861
Phone (732) 442-5552

613 Amboy Ave
Ste 103
Perth Amboy, NJ 08861

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1891761375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 AMBOY AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088612577",
            "telephone_number": "732-442-5552",
            "fax_number": "732-324-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 AMBOY AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088612577",
            "telephone_number": "732-442-5552",
            "fax_number": "732-324-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "JAMES",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00335600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3331300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.