CENTRAL JERSEY LORDEX SPINE INSTITUTE (NPI# 1306891544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306891544 |
| Entity Type | Organization |
| Organization Name | CENTRAL JERSEY LORDEX SPINE INSTITUTE |
| Practice Address |
400 Belchase Dr Suite 404 Matawan NJ 07747-9731 |
| Practice Telephone | 7322908950 |
| Practice Fax Number | 7322908952 |
| Mailing Telephone | 7322908950 |
| Mailing Fax Number | 7322908952 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RICHARD THERKELSEN (OWNER) |
| Authorized Official Telephone | 7322908950 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111N00000X | Chiropractor | 38MC00166700 | NJ | Chiropractic Providers |
| X | 225100000X | Physical Therapist | 40QA00984400 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
400 BELCHASE DR SUITE 404 |
| City | MATAWAN |
| State | NJ |
| Zip Code | 07747-9731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821562703 | Stefanie Joffe | Speech-Language Pathologist | 400 Belchase Dr, Matawan, NJ 07747-9758 | 2019-01-14 |
| 1356811350 | Sarah Ahmed | Speech-Language Pathologist | 400 Belchase Dr, Matawan, NJ 07747-9758 | 2018-12-03 |
| 1073003265 | Caitlyn Elizabeth Felitti | Speech-Language Pathologist | 400 Belchase Dr, Matawan, NJ 07747-9758 | 2018-05-14 |
| 1538602768 | Allison Weinberger | Speech-Language Pathologist | 400 Belchase Dr, Matawan, NJ 07747 | 2016-11-20 |
| 1710353552 | Hitting Milestones, LLC | Occupational Therapist | 400 Belchase Dr, Suite 406, Matawan, NJ 07747-9758 | 2015-08-17 |
| 1205210762 | Reaching Milestones LLC | Occupational Therapist | 400 Belchase Dr, Matawan, NJ 07747-9758 | 2015-07-15 |
| 1366758781 | Maria Esposito | Speech-Language Pathologist | 400 Belchase Dr, Suite 406, Matawan, NJ 07747-9758 | 2010-08-23 |
| 1760437958 | Richard Therkelsen | Chiropractor | 400 Belchase Dr, Suite 404, Matawan, NJ 07747-9731 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730730169 | Therapy Enlightens, LLC | Counselor | 811 Sloan Court, Matawan, NJ 07747 | 2019-09-26 |
| 1831748045 | Adam Fan | Physical Therapist | 1016 Hwy 34 Matawan, Building 9, Matawan, NJ 07747 | 2019-09-10 |
| 1255819843 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 96 Church St., Apt. 110, Aberdeen, NJ 07747 | 2018-08-06 |
| 1023547775 | Claire Casey | Counselor | 166 Main Strreet, Matawan, NJ 07747 | 2017-06-07 |
| 1174975361 | Danielle Barakat | Behavioral Analyst | 2 Mill Rd, Apt 2, Matawan, NJ 07747 | 2016-07-12 |
| 1275982019 | Angel Cardenas | Social Worker | 1208 Route 34 Tower 2 Suite 20, Aberdeen, NJ 07747 | 2016-06-10 |
| 1891175931 | Gabriella Taube | Dentist | 1130 Nj-34, Aberdeen Township, NJ 07747 | 2015-06-03 |
| 1639423874 | Bayshore Ems, Inc | Ambulance | 260 Church Street, Aberdeen, NJ 07747 | 2012-11-08 |
| 1689959462 | Michael Ruggiero | Counselor | 104 Wellington Place, Aberdeen, NJ 07747 | 2011-10-12 |
| 1619258407 | Maressa Nordstrom | Counselor | 196 Main St Ste 103, Matawan, NJ 07747 | 2011-09-07 |
| Find all providers in zip 07747 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336580232 | Christina Pisanello | Chiropractor | 144 State Route 34, Matawan, NJ 07747-2132 | 2013-07-09 |
| 1962662288 | Jeng Kuan | Chiropractor | 11 Edgewood Rd, Matawan, NJ 07747-3726 | 2008-06-10 |
| 1043418288 | Peltzman Chiropractic Associates, LLC | Chiropractor | 591 Hwy 34, Matawan, NJ 07747-3049 | 2007-07-10 |
| 1134344617 | Andrew Daniele | Chiropractor | 245 Main Astreet, Suite 2m, Matawan, NJ 07747-3244 | 2007-04-17 |
| 1609996115 | William F Berg | Chiropractor | 1077 State Route 34 Ste B, Matawan, NJ 07747-2151 | 2007-03-29 |
| 1841337300 | Michael Joseph Santimauro | Chiropractor | 4382 Old Bridge Matawan Rd, Matawan, NJ 07747-2159 | 2007-01-31 |
| 1225183536 | Mark D Smith | Chiropractor | 114 Rte 34, Matawan, NJ 07747-2132 | 2007-01-24 |
| 1396815239 | Gloria J Perna | Chiropractor | 1077 State Route 34, B, Matawan, NJ 07747-2162 | 2006-11-08 |
| 1235211525 | Valerie Samantha Peltzman | Chiropractor | 591 State Route 34, Matawan, NJ 07747-3049 | 2006-10-19 |
| 1598853558 | Paul Joseph Bambara | Chiropractor | 347d Matawan Road, Town Square Shopping Center, Matawan, NJ 07747-3902 | 2006-10-11 |
| Find all providers in MATAWAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.