Marc David Trotter, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00583200 Issued in NJ

Practice address

588 State Route 10 West
Randolph, NJ 07869-2056

Phone

(973) 366-6615

Fax

(973) 366-9427

NPI assigned

Dec 22, 2008

Last updated

Dec 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1043456080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 STATE ROUTE 10 WEST",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692056",
            "telephone_number": "973-366-6615",
            "fax_number": "973-366-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 STATE ROUTE 10 WEST",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692056",
            "telephone_number": "973-366-6615",
            "fax_number": "973-366-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "MARC",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-22",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00583200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Foot and Ankle L.L.C.
• Township of Randolph
• Victor H. Train, D.D.S.
• Tri-State Behavioral
• John Joseph Troche, LCSW, LCADC, CCS
• Wendy Turner, DVM
• Damanpreet Ubhi, MD, BS
• Jaclyn Lauren Vairo, LPC
• Melanie Rouse Valentin-Torres, M.D.
• Mary Vanecek

• Chiropractor in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.