KYLE ROBERTSON DC
NPI 1710397229
Chiropractor in Waldwick, NJ

Active since May 06, 2014
22 WYCKOFF AVE STE 1, WALDWICK, NJ 07463(201) 972-6121(201) 447-0827 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kyle Robertson Dc NPPES

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

KYLE ROBERTSON DC (NPI 1710397229) is an individual chiropractor in Waldwick, New Jersey, licensed in New Jersey (38MC00716200) and active in the NPI registry since May 2014. He maintains a secondary practice location in Saddle Brook and is a graduate of Palmer College Chiropractic - Davenport (2014).

NPPES Registry Identity

NPI1710397229
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKYLE ROBERTSONCredential: DC
Location Address22 WYCKOFF AVE STE 1Waldwick, NJ 07463-1788
Mailing Address22 Wyckoff Ave Ste 1Waldwick, NJ 07463-1788 · (201) 972-6121 · Fax (201) 447-0827
Fax(201) 447-0827
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2014
Enumeration DateMay 6, 2014
Last NPPES UpdateAugust 31, 2021
NPPES CertifiedAugust 31, 2021
✔ NPI 1710397229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NJ · 38MC00716200
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.
22 WYCKOFF AVE STE 1, Waldwick, NJ 07463

Secondary Practice Location 1

Location 1224 Midland AveSaddle Brook, NJ 07663-6411 · Phone (973) 478-2212 · Fax (973) 478-2123

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Robertson Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981826203
PECOS Enrollment IDI20141120001550

Medicare Billing Reassignments

2

Medicare enrollment records show Kyle Robertson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chiropractor
22 WYCKOFF AVE STE 1
Waldwick, NJ 07463
  • Reassigned Medicare billing, New Jersey enrollment
Chiropractor
224 MIDLAND AVE
Saddle Brook, NJ 07663
  • Reassigned Medicare billing, New Jersey enrollment
  • 20 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

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.
158 services11 patients

Other Providers at the Same Location NPPES 2

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

Chiropractor
22 WYCKOFF AVE STE 1
WALDWICK, NJ 07463
Chiropractor
22 WYCKOFF AVE STE 1
WALDWICK, NJ 07463

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 Kyle Robertson's NPI number?

The NPI number for Kyle Robertson is 1710397229. It was assigned to this individual provider in the NPPES registry on May 6, 2014.

Where is Kyle Robertson located?

Kyle Robertson practices at 22 Wyckoff Ave Ste 1, Waldwick, NJ 07463. The listed phone number is (201) 972-6121.

What is Kyle Robertson's specialty?

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

Is Kyle Robertson enrolled in Medicare?

Yes. Kyle Robertson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kyle Robertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Robertson reassigns Medicare benefits to 2 organizations: Waldwick Family Chiropractic (Waldwick, NJ) and Ferraro Spine & Rehabilitation, PC (Saddle Brook, NJ). Each 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 Kyle Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Robertson accept?

Health plans from Providence Health Plan list Kyle Robertson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyle Robertson was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.