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SOUTH SHORE CHIROPRACTIC LLC
NPI 1003118456
Chiropractor in Palermo, NJ

Active since November 17, 2010
1217 ROUTE 9, SUITE 101, PALERMO, NJ 08230(609) 390-8772(609) 390-8699 Get Directions Write a Review

NPPES record last updated: November 17, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About South Shore Chiropractic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH SHORE CHIROPRACTIC LLC (NPI 1003118456) is a healthcare organization registered as a chiropractor in Palermo, New Jersey and active in the NPI registry since November 2010. The organization lists Gary R Mruz, Owner Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1003118456
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOUTH SHORE CHIROPRACTIC LLC
Location Address1217 ROUTE 9, SUITE 101Palermo, NJ 08230
Mailing Address1217 Route 9, Suite 101Palermo, NJ 08230 · (609) 390-8772 · Fax (609) 390-8699
Phone(609) 390-8772
Fax(609) 390-8699
Organization SubpartNo
Authorized OfficialGary R MruzOwner Chiropractor · (609) 390-8772
Enumeration DateNovember 17, 2010
✔ NPI 1003118456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NJ · MC03565
Definition
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.
1217 ROUTE 9, Palermo, NJ 08230
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Other Identifiers 1

Medicare PIN470338NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Shore Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to South Shore Chiropractic LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

William Mack, DC
Chiropractic
NPI 1932918992
1217 ROUTE 9
Ocean View, NJ 08230
(609) 390-8772
✔ Accepts Medicare24 mi
Gary Mruz, DC
Chiropractic
NPI 1649218413
1217 ROUTE 9 SUITE 101
Ocean View, NJ 08230
(609) 390-8772
✔ Accepts Medicare24 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Shore Chiropractic LLC's NPI number?

The NPI number for South Shore Chiropractic LLC is 1003118456. It was assigned to this organization in the NPPES registry on November 17, 2010.

Where is South Shore Chiropractic LLC located?

South Shore Chiropractic LLC is located at 1217 Route 9 Suite 101, Palermo, NJ 08230. The listed phone number is (609) 390-8772.

What is South Shore Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is South Shore Chiropractic LLC enrolled in Medicare?

Yes. South Shore Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Shore Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to South Shore Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for South Shore Chiropractic LLC was last updated on November 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.