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PENCZAK FAMILY CHIROPRACTIC, LLC
NPI 1083773923
Chiropractor in Wall, NJ

Active since December 06, 2006
2041 ROUTE 35, WALL, NJ 07719(732) 974-7022(732) 974-7023 Get Directions Write a Review

NPPES record last updated: March 17, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Penczak Family Chiropractic, Llc NPPES

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

PENCZAK FAMILY CHIROPRACTIC, LLC (NPI 1083773923) is a healthcare organization registered as a chiropractor in Wall, New Jersey and active in the NPI registry since December 2006. The organization lists Susan Penczak, Owner, as its authorized official.

NPPES Registry Identity

NPI1083773923
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePENCZAK FAMILY CHIROPRACTIC, LLC
Location Address2041 ROUTE 35Wall, NJ 07719
Mailing Address2041 Route 35Wall, NJ 07719 · (732) 974-7022 · Fax (732) 974-7023
Phone(732) 974-7022
Fax(732) 974-7023
Organization SubpartNo
Authorized OfficialSusan PenczakOwner · (732) 974-7022
Enumeration DateDecember 6, 2006
Last NPPES UpdateMarch 17, 2008
✔ NPI 1083773923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NJ · 38MC00554100
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.
2041 ROUTE 35, Wall, NJ 07719
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Other Identifiers 3

Other2273901000NJ · Amerihealth Ppo Pin
Medicare PIN084043NJ
Medicare UPINV01647NJ

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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Penczak Family Chiropractic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Susan Penczak, DC
Chiropractic
NPI 1477584100
2041 STATE ROUTE 35
Wall Township, NJ 07719
(732) 974-7022
✔ Accepts Medicare1.7 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 Penczak Family Chiropractic, LLC's NPI number?

The NPI number for Penczak Family Chiropractic, LLC is 1083773923. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Penczak Family Chiropractic, LLC located?

Penczak Family Chiropractic, LLC is located at 2041 Route 35, Wall, NJ 07719. The listed phone number is (732) 974-7022.

What is Penczak Family Chiropractic, LLC's specialty?

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

Is Penczak Family Chiropractic, LLC enrolled in Medicare?

Yes. Penczak Family Chiropractic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Penczak Family Chiropractic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Penczak Family 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 Penczak Family Chiropractic, LLC was last updated on March 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.