Active NPI
Karen Marie Mennella, DC
- Chiropractor
- Wayne, NJ
National Provider Identifier
1932483070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00372700
- Practice address
- 220 Hamburg Tpke Ste 14a
Wayne, NJ 07470-2132 - Phone
- (862) 336-1600
- Fax
- (862) 336-1601
- NPI assigned
- Oct 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00372700 | NJ | Primary |
Addresses
Primary practice location
220 Hamburg Tpke Ste 14a
Wayne, NJ 07470-2132
Mailing address
220 Hamburg Tpke Ste 14a
Wayne, NJ 07470-2132
Phone (862) 336-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00372700 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1932483070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 HAMBURG TPKE STE 14A",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702132",
"telephone_number": "862-336-1600",
"fax_number": "862-336-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 HAMBURG TPKE STE 14A",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702132",
"telephone_number": "862-336-1600",
"fax_number": "862-336-1601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENNELLA",
"first_name": "KAREN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-07",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00372700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.