Organization Active NPI

Chiropractic and Rehabilitation Center of Morris, LLC

  • Chiropractor
  • Cedar Knolls, NJ
National Provider Identifier
1942723069
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00176600 Issued in NJ
Legal business name
CHIROPRACTIC AND REHABILITATION CENTER OF MORRIS, LLC
Practice address
7 Ridgedale Ave Ste 203
Cedar Knolls, NJ 07927-1120
Phone
(973) 359-4400
Fax
(973) 359-4414
NPI assigned
Jul 20, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Grace Hancock
Title
Office Manager
Phone
(973) 359-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00176600 NJ Primary

Addresses

Primary practice location

7 Ridgedale Ave Ste 203
Cedar Knolls, NJ 07927-1120

Mailing address

7 Ridgedale Ave Ste 203
Cedar Knolls, NJ 07927-1120
Phone (973) 359-4400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180110003142 NJ Part B Supplier - Clinic/Group Practice 6901165331 Receives reassigned benefits from 3 practitioners
Practice locations: Cedar Knolls, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942723069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RIDGEDALE AVE STE 203",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271120",
            "telephone_number": "973-359-4400",
            "fax_number": "973-359-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RIDGEDALE AVE STE 203",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271120",
            "telephone_number": "973-359-4400",
            "fax_number": "973-359-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC AND REHABILITATION CENTER OF MORRIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-359-4400"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00176600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.