Individual provider Active NPI

Keith Malinowski, D.C.

  • Chiropractor
  • PT Pleasant, NJ
National Provider Identifier
1942434337
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00667600 Issued in NJ
Practice address
2612 Route 88
PT Pleasant, NJ 08742-2834
Phone
(732) 899-0016
Fax
(732) 899-0116
NPI assigned
May 13, 2009
Last updated
May 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00667600 NJ Primary

Addresses

Primary practice location

2612 Route 88
PT Pleasant, NJ 08742-2834

Mailing address

2612 Route 88
PT Pleasant, NJ 08742-2834
Phone (732) 899-0016

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091203000226 NJ Practitioner - Chiropractic 1658396346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Family Chiropractic LLCGroup PAC ID 6507095064, 2 clinicians

Practice addresses (Care Compare)

2320 Brunswick Ave
Lawrence Township, NJ 08648-4411
Phone (609) 393-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00667600NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Family Chiropractic, LLC Chiropractor CurrentSince Feb 20, 2025 Accepting new patients
Atlantic County Family Spine Rehab Chiropractor CurrentSince May 17, 2024 Accepting new patients
Rockwell Medical PC Past Accepting new patients

Locations

2320 US Highway 1
Lawrenceville, NJ 08648
Phone (609) 393-1600

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1942434337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 ROUTE 88",
            "city": "PT PLEASANT",
            "state": "NJ",
            "postal_code": "087422834",
            "telephone_number": "732-899-0016",
            "fax_number": "732-899-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 ROUTE 88",
            "city": "PT PLEASANT",
            "state": "NJ",
            "postal_code": "087422834",
            "telephone_number": "732-899-0016",
            "fax_number": "732-899-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINOWSKI",
        "first_name": "KEITH",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00667600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in PT Pleasant, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.