NPIMap

Organization Active NPI

Monmouth Sports Chiropractic, P.C.

  • Chiropractor
  • Morganville, NJ
National Provider Identifier
1942672936
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00707000 Issued in NJ
Legal business name
MONMOUTH SPORTS CHIROPRACTIC, P.C.
Practice address
436 Route 79
Suite 21
Morganville, NJ 07751
Phone
(732) 617-8000
NPI assigned
Oct 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Dr. Michael A. Carducci, D.O.
Title
President
Phone
(732) 617-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00707000 NJ Primary

Addresses

Primary practice location

436 Route 79
Suite 21
Morganville, NJ 07751

Mailing address

436 Route 79
Suite 21
Morganville, NJ 07751
Phone (732) 617-8000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1942672936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 ROUTE 79",
            "address_2": "SUITE 21",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "07751",
            "telephone_number": "732-617-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 ROUTE 79",
            "address_2": "SUITE 21",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "07751",
            "telephone_number": "732-617-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH SPORTS CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "CARDUCCI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-617-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00707000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.