Individual provider Active NPI

Mary Jean Negri, RN, DC

  • Chiropractor
  • Lafayette, NJ
National Provider Identifier
1063594836
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00238800 Issued in NJ
Practice address
23 Route 15
Lafayette, NJ 07848
Phone
(973) 579-1608
Fax
(973) 579-7408
NPI assigned
Oct 20, 2006
Last updated
Jan 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00238800 NJ Primary

Addresses

Primary practice location

23 Route 15
Lafayette, NJ 07848

Mailing address

23 Route 15
Lafayette, NJ 07848
Phone (973) 579-1608

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050114000049 NJ Practitioner - Chiropractic 7911956198 Practice locations: Lafayette, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23 State Route 15
Apt a
Lafayette, NJ 07848-2023
Phone (973) 579-1608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1063594836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ROUTE 15",
            "city": "LAFAYETTE",
            "state": "NJ",
            "postal_code": "07848",
            "telephone_number": "973-579-1608",
            "fax_number": "973-579-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ROUTE 15",
            "city": "LAFAYETTE",
            "state": "NJ",
            "postal_code": "07848",
            "telephone_number": "973-579-1608",
            "fax_number": "973-579-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRI",
        "first_name": "MARY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "RN, DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00238800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.