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SUSAN H PENCZAK DC
NPI 1477584100
Chiropractor in Wall Township, NJ

Active since July 05, 2006Accepts Medicare Assignment
2041 STATE ROUTE 35, WALL TOWNSHIP, NJ 07719(732) 974-7022(732) 974-7023 Get Directions Write a Review

NPPES record last updated: February 8, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Susan H Penczak Dc NPPES

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

SUSAN H PENCZAK DC (NPI 1477584100) is an individual chiropractor in Wall Township, New Jersey, licensed in New Jersey (38MC00554100) and active in the NPI registry since July 2006. She is a graduate of New York Chiropractic College (1999).

NPPES Registry Identity

NPI1477584100
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameSUSAN H PENCZAKCredential: DC
Location Address2041 STATE ROUTE 35Wall Township, NJ 07719-3539
Mailing Address2041 State Route 35Wall Township, NJ 07719-3539 · (732) 974-7022 · Fax (732) 974-7023
Phone(732) 974-7022
Fax(732) 974-7023
Sole ProprietorYes
Medical School CMSNew York Chiropractic CollegeGraduated 1999
Enumeration DateJuly 5, 2006
Last NPPES UpdateFebruary 8, 2008
✔ NPI 1477584100 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 STATE ROUTE 35, Wall Township, NJ 07719
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Other Identifiers 5

Other2273901000Amerihealth Indiv. Hmo Id
Medicare UPINV01647NJ
Other2281138000Amerihealth Practic Hmo I
OtherP3271421Oxford
Medicare PIN084038NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan H Penczak Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729048749
PECOS Enrollment IDI20041014000363

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic 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.
90 services15 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
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.
82 services15 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALL IN THE FAMILY DENTAL CARE PA
Dentist (General Practice)
2041 STATE ROUTE 35
WALL TOWNSHIP, NJ 07719
Monmouth County (732) 449-2228
DR. JOSEPH GLEN CAMPI DMD
Dentist (General Practice)
2041 STATE ROUTE 35
WALL TOWNSHIP, NJ 07719
Monmouth County (732) 449-2228
DR. JOHN GEORGE CAMPI III DMD
Dentist (General Practice)
2041 STATE ROUTE 35
WALL TOWNSHIP, NJ 07719
Monmouth County (732) 449-2228

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 Susan Penczak's NPI number?

The NPI number for Susan Penczak is 1477584100. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Susan Penczak located?

Susan Penczak practices at 2041 State Route 35, Wall Township, NJ 07719. The listed phone number is (732) 974-7022.

What is Susan Penczak's specialty?

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

Is Susan Penczak enrolled in Medicare?

Yes. Susan Penczak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Susan Penczak was last updated on February 8, 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.