Active NPI
Richard Todd Kirstein, D.C.
- Chiropractor
- Vineland, NJ
National Provider Identifier
1992799373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC 02778
- Practice address
- 630 S Brewster Rd
Vineland, NJ 08361-7801 - Phone
- (856) 692-9299
- Fax
- (856) 696-3870
- NPI assigned
- Aug 31, 2005
- Reactivated
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC 02778 | NJ | Primary |
Addresses
Primary practice location
630 S Brewster Rd
Vineland, NJ 08361-7801
Mailing address
630 S Brewster Rd
Unit B2
Vineland, NJ 08361-7801
Phone (856) 692-9299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1303902 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1984
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
630 S Brewster Rd
Vineland, NJ 08361-7801
Phone (856) 692-9299
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC 02778 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kirstein Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
630 S Brewster Rd
Ste B2
Vineland, NJ 08361
Phone (856) 692-9299
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Vineland, NJ
- NPI 1679744551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1992799373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 S BREWSTER RD",
"address_2": "UNIT B2",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083617801",
"telephone_number": "856-692-9299",
"fax_number": "856-696-3870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 S BREWSTER RD",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083617801",
"telephone_number": "856-692-9299",
"fax_number": "856-696-3870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRSTEIN",
"first_name": "RICHARD",
"middle_name": "TODD",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2008-04-09",
"deactivation_date": "2006-03-24",
"reactivation_date": "2006-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC 02778",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1303902",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.