NPIMap

Organization Active NPI

Kellys Chiropractic

  • Chiropractor
  • Union, NJ
National Provider Identifier
1902277346
Registry record updated Oct 12, 2015
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Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00703700 Issued in NJ
Legal business name
KELLYS CHIROPRACTIC
Practice address
1362 Morris Ave
Union, NJ 07083-3342
Phone
(908) 688-4055
NPI assigned
Oct 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Dr. Jaeyda Patreice Hunter, D.C.
Title
Chiropractor/Sole Owner
Phone
(862) 371-7059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00703700 NJ Primary

Addresses

Primary practice location

1362 Morris Ave
Union, NJ 07083-3342

Mailing address

1362 Morris Ave
Union, NJ 07083-3342
Phone (908) 688-4055

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1902277346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833342",
            "telephone_number": "908-688-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833342",
            "telephone_number": "908-688-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLYS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "JAEYDA",
        "authorized_official_middle_name": "PATREICE",
        "authorized_official_title_or_position": "CHIROPRACTOR/SOLE OWNER",
        "authorized_official_telephone_number": "862-371-7059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00703700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.