Individual provider Active NPI

Christopher Y Wuttke, DC

  • Chiropractor
  • Scotch Plains, NJ
National Provider Identifier
1205444098
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00768800 Issued in NJ
Practice address
1744 E 2ND St
Scotch Plains, NJ 07076-1708
Phone
(908) 427-5233
Fax
(732) 813-1565
NPI assigned
Jul 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00768800 NJ Primary

Addresses

Primary practice location

1744 E 2ND St
Scotch Plains, NJ 07076-1708

Mailing address

1744 E 2ND St
Scotch Plains, NJ 07076-1708
Phone (908) 427-5233

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200731001984 NJ Practitioner - Chiropractic 4789009150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Spine and RehabilitationGroup PAC ID 0143631283, 7 clinicians

Practice addresses (Care Compare)

55 -77 Schanck Rd
Suite B 17
Freehold, NJ 07728-2964
Phone (732) 414-6061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00768800NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Spine and Rehabilitation Chiropractor CurrentSince Oct 21, 2024 Accepting new patients
Health & Fitness Professionals LLC Chiropractor CurrentSince Jul 13, 2020 Accepting new patients
Menon Regenerative Institute LLC Single Specialty Past Accepting new patients

Locations

77 Schanck Rd
Ste B-17
Freehold, NJ 07728
Phone (201) 871-4000

1744 E 2nd St
Scotch Plains, NJ 07076
Phone (908) 209-9291

1740 E 2nd St
Scotch Plains, NJ 07076
Phone (908) 312-9340

573 Amboy Ave
Woodbridge, NJ 07095
Phone (908) 282-3737

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1205444098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 E 2ND ST",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761708",
            "telephone_number": "908-427-5233",
            "fax_number": "732-813-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 E 2ND ST",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761708",
            "telephone_number": "908-427-5233",
            "fax_number": "732-813-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUTTKE",
        "first_name": "CHRISTOPHER",
        "middle_name": "Y",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00768800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotch Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.