Organization Active NPI

Samsara Chiropractic Wellness Center

  • Chiropractor
  • Somerville, NJ
National Provider Identifier
1992079255
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00625200 Issued in NJ
Legal business name
SAMSARA CHIROPRACTIC WELLNESS CENTER
Practice address
1 Eastern Ave Ste 2
Somerville, NJ 08876-2552
Phone
(908) 300-8800
NPI assigned
Mar 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Dr. Jennifer Redmond, DCNPI 1891747549
Title
Owner
Phone
(908) 300-8800

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 38MC00625200 NJ Primary

Addresses

Primary practice location

1 Eastern Ave Ste 2
Somerville, NJ 08876-2552

Mailing address

1 Eastern Ave Ste 2
Somerville, NJ 08876-2552
Phone (908) 300-8800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120524000030 NJ Part B Supplier - Clinic/Group Practice 0446413710 Receives reassigned benefits from 1 practitioner
Practice locations: Somerville, NJ

National Provider Directory

National Provider Directory

Locations

7 E High St
Somerville, NJ 08876
Phone (908) 300-8800

Practitioners & affiliated clinicians

Practitioners 2

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": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1992079255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EASTERN AVE STE 2",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762552",
            "telephone_number": "908-300-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EASTERN AVE STE 2",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762552",
            "telephone_number": "908-300-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMSARA CHIROPRACTIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-300-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00625200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.