Organization Active NPI

Marsteller Health and Wellness LLC

  • Chiropractor
  • Sewell, NJ
National Provider Identifier
1184669954
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00647900 Issued in NJ
Legal business name
MARSTELLER HEALTH AND WELLNESS LLC
Practice address
100 Kings Way E Ste D3
Sewell, NJ 08080-2238
Phone
(856) 589-0076
Fax
(856) 589-3822
NPI assigned
Jun 17, 2006
Last updated
Jul 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Dr. Matthew John Marsteller, DCNPI 1710938121
Title
Owner
Phone
(856) 589-0076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00647900 NJ Primary

Addresses

Primary practice location

100 Kings Way E Ste D3
Sewell, NJ 08080-2238

Mailing address

100 Kings Way E Ste D3
Sewell, NJ 08080-2238
Phone (856) 589-0076

Other identifiers 2

IdentifierTypeStateIssuer
1710938121OtherNJINDIVIDUAL NPI NUMBER
0762482MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060814000443 NJ Part B Supplier - Clinic/Group Practice 8022011980 Receives reassigned benefits from 1 practitioner
Practice locations: Sewell, NJ

National Provider Directory

National Provider Directory

Locations

100 Kings Way E
Ste D5
Sewell, NJ 08080
Phone (856) 589-0076

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1184669954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS WAY E STE D3",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802238",
            "telephone_number": "856-589-0076",
            "fax_number": "856-589-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KINGS WAY E STE D3",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802238",
            "telephone_number": "856-589-0076",
            "fax_number": "856-589-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSTELLER HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "MARSTELLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-589-0076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00647900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1710938121",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0762482",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.