Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 111N00000X | Chiropractor | | 38MC00576400 | NEW JERSEY | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 097149 | OTHER | NEW JERSEY | LEGACY PIN |
| 2 | 1245254457 | OTHER | NEW JERSEY | PROVIDER NPI |
| 3 | 2795581000 | OTHER | NEW JERSEY | AMERIHEALTH VENDOR BILLNG |
| 4 | 203493031 | OTHER | NEW JERSEY | BC/BS |
| 5 | 1163556 | OTHER | NEW JERSEY | AETNA HMO |
| 6 | 7855827 | OTHER | NEW JERSEY | AETNA PIN |
| 7 | 2795579000 | OTHER | NEW JERSEY | AMERIHEALTH IND. PROVIDER |
| 8 | V07865 | MEDICARE UPIN | NEW JERSEY | |
| 9 | 097148UW3 | OTHER | NEW JERSEY | MEDICARE IND. PIN |
| 10 | 1326173782 | OTHER | NEW JERSEY | GROUP NPI |
| 11 | 1C 097149 | MEDICARE PIN | NEW JERSEY | |
