Carmen Otalora, DOCTOR OF CHIRO

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00346200 Issued in NJ

Practice address

1300 West County Line Rd
Lakewood, NJ 08701

Phone

(732) 905-5055

Fax

(732) 905-9438

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Maria Del-Carmen Otalora Levin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902984230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 WEST COUNTY LINE RD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-905-5055",
            "fax_number": "732-905-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WEST COUNTY LINE RD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-905-5055",
            "fax_number": "732-905-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTALORA",
        "first_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF CHIRO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00346200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "OTALORA LEVIN",
            "middle_name": "DEL-CARMEN",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fayge Orzel, BCBA
• Chana Osina, SLP
• Hannah Osina, MS CCC SLP
• Irene Osipenko, APN
• Marcia W Oskolski, LCSW
• Joshua Ottensoser
• Our Child Therapy
• Our Milestones
• Our Place Services LLC
• Steven Samuel Ovadia, LCSW

• Chiropractor in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.