Active NPI
Joseph Anthony Mezyk, D.C.
- Chiropractor
- West New York, NJ
National Provider Identifier
1184729832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC2969
- Practice address
- 323 60TH Street
West New York, NJ 07093 - Phone
- (201) 861-6800
- Fax
- (201) 861-6803
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | MC2969 | NJ | Primary |
Addresses
Primary practice location
323 60TH Street
West New York, NJ 07093
Mailing address
20 Gales Road
Edison, NJ 08837
Phone (201) 861-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC2969 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Avenue Rehabilitation LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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
- West New York, NJ
- NPI 1861577041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281312000000",
"number": "1184729832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 GALES ROAD",
"city": "EDISON",
"state": "NJ",
"postal_code": "08837",
"telephone_number": "201-861-6800",
"fax_number": "201-861-6803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 60TH STREET",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "07093",
"telephone_number": "201-861-6800",
"fax_number": "201-861-6803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEZYK",
"first_name": "JOSEPH",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2010-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC2969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.