Organization Active NPI

Boardwalk Family Chiropractic

  • Chiropractor
  • Manasquan, NJ
National Provider Identifier
1912585605
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BOARDWALK FAMILY CHIROPRACTIC
Practice address
87 Union Ave
Manasquan, NJ 08736-3633
Phone
(732) 703-6263
NPI assigned
Apr 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Dr. Sarah Louise Roseberry Stewart, DC
Title
Owner
Phone
(502) 802-0758

Specialties & licenses 1

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

Addresses

Primary practice location

87 Union Ave
Manasquan, NJ 08736-3633

Mailing address

87 Union Ave
Manasquan, NJ 08736-3633

National Provider Directory

National Provider Directory

Locations

87 Union Ave
Ste 101
Manasquan, NJ 08736

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1912585605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 UNION AVE",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 UNION AVE",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363633",
            "telephone_number": "732-703-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARDWALK FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2022-09-27",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LOUISE ROSEBERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-802-0758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.