Unknown Individual – Chiropractor, NPI 1669531356

Unknown Individual is a healthcare provider. based in Jackson, New Jersey. specializing in Chiropractor. They hold a License No. 38MC00409500 (NJ). The NPI Number for Unknown Individual is 1669531356

Main info

Organization
Inactive
36 Years Of Experience
Name
Unknown Individual
NPI
1669531356
Phone
(848) 444-0660
Address
702 BREWERS BRIDGE RD
Deactivation Date
19 April 2022

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
5496902942
Professional Enrollment ID
I20120906000010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 702, Brewers Bridge Road, Jackson Township, Ocean County, New Jersey, 08527, United States

    JACKSON, NJ 085272052

    Phone: (848) 444-0660

    Fax: (732) 577-0468

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08527)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1669531356 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Chiropractor. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Jackson, New Jersey for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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