Individual provider Active NPI

Kimberly Ann Del Mage, D.C.

  • Chiropractor
  • Paramus, NJ
National Provider Identifier
1023211786
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00706300 Issued in NJ
Practice address
1 Sears Dr
3Rd Floor
Paramus, NJ 07652-3515
Phone
(201) 261-5220
Fax
(201) 261-5223
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001607 CT
Chiropractor 111N00000X 38MC00706300 NJ Primary

Addresses

Primary practice location

1 Sears Dr
3Rd Floor
Paramus, NJ 07652-3515

Mailing address

1 Sears Dr
3Rd Floor
Paramus, NJ 07652-3515
Phone (201) 261-5220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130604000759 NJ Practitioner - Chiropractic 2062459548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Spine and Health Center of MontvaleGroup PAC ID 8224195847, 14 clinicians

Practice addresses (Care Compare)

32 Philips Pkwy
Montvale, NJ 07645-1811
Phone (201) 746-6577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00706300NJMDChiropractor
001607CTMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Spine and Health Center of Montvale Chiropractor CurrentSince Oct 6, 2014 Accepting new patients
Spine and Health Center of Closter PC Chiropractor CurrentSince Sep 1, 2017 Accepting new patients

Locations

31 Ver Valen St
Closter, NJ 07624
Phone (201) 784-2700

2 S Kinderkamack Rd
Ste 208
Montvale, NJ 07645
Phone (201) 746-6577

32 Philips Pkwy
Montvale, NJ 07645
Phone (201) 494-4479

Organizations & group practices 2

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1023211786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEARS DR",
            "address_2": "3RD FLOOR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523515",
            "telephone_number": "201-261-5220",
            "fax_number": "201-261-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SEARS DR",
            "address_2": "3RD FLOOR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523515",
            "telephone_number": "201-261-5220",
            "fax_number": "201-261-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL MAGE",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001607",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00706300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.