Back on Track Chiropractic LLC.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

38MC00641100 Issued in NJ

Legal business name

BACK ON TRACK CHIROPRACTIC LLC.

Practice address

479 Rte 79 # C2
Morganville, NJ 07751-4061

Phone

(732) 242-9541

Fax

(732) 242-9543

NPI assigned

May 12, 2008

Last updated

May 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James L. Boas, D.C.NPI 1598810608

Title

Owner

Phone

(732) 242-9541

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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.

• James L Boas I, D.C.

  • Rehabilitation Chiropractor
  • Morganville, NJ
  • NPI 1598810608
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1982871703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 RTE 79 # C2",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077514061",
            "telephone_number": "732-242-9541",
            "fax_number": "732-242-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 RTE 79 # C2",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077514061",
            "telephone_number": "732-242-9541",
            "fax_number": "732-242-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK ON TRACK CHIROPRACTIC LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "BOAS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-242-9541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "38MC00641100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Chiropractor in Morganville, NJ
• Providers in Morganville, NJ by specialty
• Rehabilitation Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.