Active NPI
Kenneth John Ciarrocca, DC
- Chiropractor
- Westfield, NJ
National Provider Identifier
1992866594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC02636
- Practice address
- 1101 South Ave W
Westfield, NJ 07090-1418 - Phone
- (908) 654-0566
- Fax
- (908) 654-8574
- NPI assigned
- Dec 13, 2006
- Last updated
- Oct 9, 2007
- 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 | MC02636 | NJ | Primary |
Addresses
Primary practice location
1101 South Ave W
Westfield, NJ 07090-1418
Mailing address
1101 South Ave W
Westfield, NJ 07090-1418
Phone (908) 654-0566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080513000095 | NJ | Practitioner - Chiropractic | 5698844991 | Practice locations: Westfield, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1101 S Ave W
Westfield, NJ 07090-1418
Phone (908) 654-0566
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC02636 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1992866594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 SOUTH AVE W",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070901418",
"telephone_number": "908-654-0566",
"fax_number": "908-654-8574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 SOUTH AVE W",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070901418",
"telephone_number": "908-654-0566",
"fax_number": "908-654-8574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIARROCCA",
"first_name": "KENNETH",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC02636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.