DR. JAMES PROODIAN D.C.
NPI 1477547636
Chiropractor in Long Branch, NJ
NPI Status: Active since September 02, 2005
Contact Information
10 W END CT
LONG BRANCH, NJ
ZIP 07740
Phone: (732) 222-2219
Fax: (732) 229-8863
- Individual
- Male
- Years of Experience 33
- Chiropractor
- Accepts Medicare Approved Payment
About JAMES PROODIAN
This page provides the complete NPI Profile along with additional information for James Proodian, a provider established in Long Branch, New Jersey with a medical specialization in Chiropractor and more than 33 years of experience. He graduated from New York Chiropractic College in 1993. The healthcare provider is registered in the NPI registry with number 1477547636 assigned on September 2005. The practitioner's primary taxonomy code is 111N00000X with license number 38MC00452500 (NJ). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1477547636
- Provider Name
- DR. JAMES PROODIAN D.C.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 10 W END CT LONG BRANCH, NJ 07740
- Location Phone
- (732) 222-2219
- Location Fax
- (732) 229-8863
- Mailing Address
- 10 W END CT LONG BRANCH, NJ 07740
- Mailing Phone
- (732) 222-2219
- Mailing Fax
- (732) 229-8863
- Medical School Name
- NEW YORK CHIROPRACTIC COLLEGE
- Graduation Year
- 1993
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-02-2005
- Last Update Date
- 07-14-2009
- Code Navigator
A chiropractor like James Proodian helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chiropractor
- Taxonomy Code
- 111N00000X
- Type
- Chiropractic Providers
- License No.
- 38MC00452500
- License State
- NJ
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 383662747 | OTHER (01) | NJ | TAX ID # |
| U96054 | MEDICARE UPIN (02) | NJ | |
| 071209RWL | MEDICARE ID-TYPE UNSPECIFIED (04) | NJ | |
| 071209RWL | MEDICARE PIN (08) | NJ |
Medicare Participation & PECOS Enrollment Status
James Proodian is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 8527251115
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20101014001081
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Chiropractic manipulative treatment, 1-2 spinal regions
Chiropractic manipulative treatment, 3-4 spinal regions
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
This service was performed 423 times for 64 patientsChiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
This service was performed 717 times for 88 patientsReviews for DR. JAMES PROODIAN D.C.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1477547636, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477547636, enumerated as an "individual" on September 02, 2005.
The provider is located at 10 W END CT LONG BRANCH, NJ 07740 and the phone number is (732) 222-2219.
Chiropractor with taxonomy code 111N00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
