Organization Active NPI

Back to Balance LLC

  • Chiropractor
  • Kendall Park, NJ
National Provider Identifier
1982939674
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00646900 Issued in NJ
Legal business name
BACK TO BALANCE LLC
Practice address
3176 State Route 27
Suite 1C
Kendall Park, NJ 08824-1514
Phone
(732) 821-6920
Fax
(732) 821-7020
NPI assigned
Oct 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Authorized official

Name
Dr. Kristin A Sweet, D.C.NPI 1578784724
Title
Owner/Chiropractor
Phone
(732) 821-6920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00646900 NJ Primary

Addresses

Primary practice location

3176 State Route 27
Suite 1C
Kendall Park, NJ 08824-1514

Mailing address

3176 State Route 27
Suite 1C
Kendall Park, NJ 08824
Phone (732) 821-6920

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091124000042 NJ Part B Supplier - Clinic/Group Practice 4486793957 Receives reassigned benefits from 1 practitioner
Practice locations: Monmouth Junction, NJ

National Provider Directory

National Provider Directory

Locations

1 Executive Dr
Ste 101A
Monmouth Junction, NJ 08852
Phone (732) 821-6920

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1982939674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3176 STATE ROUTE 27",
            "address_2": "SUITE 1C",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "08824",
            "telephone_number": "732-821-6920",
            "fax_number": "732-821-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3176 STATE ROUTE 27",
            "address_2": "SUITE 1C",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241514",
            "telephone_number": "732-821-6920",
            "fax_number": "732-821-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BALANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "SWEET",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "732-821-6920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00646900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.