Organization Active NPI

Hainesport Chiropractic LLC

  • Chiropractor
  • Hainesport, NJ
National Provider Identifier
1992312359
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HAINESPORT CHIROPRACTIC LLC
Practice address
2717 Marne Hwy
Hainesport, NJ 08036-2892
Phone
(609) 267-5550
NPI assigned
Sep 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Michael D Fox, DCNPI 1285255737
Title
Owner/Chiropractor
Phone
(609) 267-5550

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 Primary

Addresses

Primary practice location

2717 Marne Hwy
Hainesport, NJ 08036-2892

Mailing address

2717 Marne Hwy
Hainesport, NJ 08036-2892
Phone (609) 267-5550

Other practice location 1

941 Whitehorse Ave
Suite 3
Hamilton, NJ 08610
Phone (609) 581-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240701001732 NJ Part B Supplier - Clinic/Group Practice 4688118714 Receives reassigned benefits from 1 practitioner
Practice locations: Hainesport, NJ

National Provider Directory

National Provider Directory

Locations

941 White Horse Ave
Ste 3
Hamilton, NJ 08610
Phone (609) 581-2222

Practitioners & affiliated clinicians

Practitioners 4

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": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1992312359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 MARNE HWY",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362892",
            "telephone_number": "609-267-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 MARNE HWY",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362892",
            "telephone_number": "609-267-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "941 Whitehorse Ave",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "08610",
            "country_code": "US",
            "telephone_number": "609-581-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAINESPORT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "609-267-5550",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hainesport, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.