Individual provider Active NPI

William Knodel, D.C.

  • Chiropractor
  • Mountainside, NJ
National Provider Identifier
1891949889
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00678600 Issued in NJ
Practice address
250 Knollcrest Rd
Mountainside, NJ 07092-1919
Phone
(908) 232-4234
NPI assigned
Nov 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30873 CA
Chiropractor 111N00000X 38MC00678600 NJ Primary
Chiropractor 111N00000X X0116731 NY

Addresses

Primary practice location

250 Knollcrest Rd
Mountainside, NJ 07092-1919

Mailing address

250 Knollcrsest Road
Mountainside, NJ 07092-1919
Phone (908) 232-4234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210305000445 NJ Practitioner - Chiropractic 1254479512 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X0116731NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Spine & Wellness L L C Chiropractor CurrentSince Mar 1, 2021 Accepting new patients
New Century Chiropractic Services PC Chiropractor Past Accepting new patients
Flatiron Chiropractic Wellness PC Chiropractor Past Accepting new patients

Locations

4251 US Highway 9
Ste B
Freehold, NJ 07728
Phone (732) 683-1800

Organizations & group practices 3

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": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1891949889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 KNOLLCRSEST ROAD",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070921919",
            "telephone_number": "908-232-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 KNOLLCREST RD",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070921919",
            "telephone_number": "908-232-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNODEL",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-04",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30873",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00678600",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0116731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountainside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.