Individual provider Active NPI

Michael Joseph Pezza Jr., DC

  • Chiropractor
  • Edison, NJ
National Provider Identifier
1013325067
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00718300 Issued in NJ
Practice address
10 Parsonage Rd Ste 208
Edison, NJ 08837-2429
Phone
(732) 906-9600
Fax
(732) 377-0393
NPI assigned
Jul 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00718300 NJ Primary

Addresses

Primary practice location

10 Parsonage Rd Ste 208
Edison, NJ 08837-2429

Mailing address

90 Matawan Rd Ste 302
Matawan, NJ 07747-2653
Phone (732) 441-7177

Other practice location 1

3540 John F Kennedy Blvd
Jersey City, NJ 07307-3450
Phone (732) 906-9600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.pezza.1@21449.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151019002152 NJ Practitioner - Chiropractic 5597074344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians

Practice addresses (Care Compare)

10 Parsonage Rd
Suite 208
Edison, NJ 08837-2429
Phone (732) 906-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00718300NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman Pain Institute PA Chiropractor CurrentSince Oct 1, 2020 Accepting new patients
Premier Brain and Spine LLC CurrentSince Jul 15, 2022 Accepting new patients
Premier Brain and Spine, LLC Chiropractor CurrentSince Jul 15, 2022 Accepting new patients

Locations

11 W 25th St
Bayonne, NJ 07002
Phone (201) 243-9291

10 Parsonage Rd
Ste 208
Edison, NJ 08837
Phone (732) 688-9083

3540 John F Kennedy Blvd
Jersey City, NJ 07307
Phone (201) 333-2221

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

Networks

  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037

Interoperability endpoints

  • Direct secure messaging: michael.pezza.1@21449.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1013325067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARSONAGE RD STE 208",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372429",
            "telephone_number": "732-906-9600",
            "fax_number": "732-377-0393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3540 John F Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073073450",
            "country_code": "US",
            "telephone_number": "732-906-9600",
            "fax_number": "833-449-3389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEZZA",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-22",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00718300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.pezza.1@21449.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "10 Parsonage Rd Ste 208",
            "city": "Edison",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088372429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.