Active NPI
Dino Corrado Derobertis, D.C.
- Chiropractor
- Edison, NJ
National Provider Identifier
1104159292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00671800
- Practice address
- 72 Stony Rd
Edison, NJ 08817-3722 - Phone
- (732) 447-7990
- NPI assigned
- Sep 8, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00671800 | NJ | Primary |
Addresses
Primary practice location
72 Stony Rd
Edison, NJ 08817-3722
Mailing address
72 Stony Rd
Edison, NJ 08817-3722
Phone (732) 447-7990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
629 Higgins Ave
Suite 2
Brielle, NJ 08730-1480
Phone (732) 872-6595
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brielle Integrated Healthcare LLC | Chiropractor | Current | Accepting new patients |
| Westfield Health & Rehabilitation, LLC | Chiropractor | Past | Accepting new patients |
Locations
2373 State Route 36
Atlantic Hlds, NJ 07716
Phone (732) 872-6595
629 Higgins Ave
Ste 2
Brielle, NJ 08730
Phone (732) 872-6595
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.
-
- Chiropractor
- Brielle, NJ
- NPI 1962915504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252368000000",
"number": "1104159292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 STONY RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088173722",
"telephone_number": "732-447-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 STONY RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088173722",
"telephone_number": "732-447-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEROBERTIS",
"first_name": "DINO",
"middle_name": "CORRADO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-08",
"last_updated": "2009-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00671800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Sep 8, 2009; 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.