Individual provider Active NPI

Patricia Marie Jamison, D.C.

  • Chiropractor
  • Caldwell, NJ
National Provider Identifier
1225102585
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC00397800 Issued in NJ
Practice address
14 Forest Ave Ste 11
Caldwell, NJ 07006-5208
Phone
(862) 210-8994
NPI assigned
Nov 20, 2006
Last updated
Aug 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC00397800 NJ Primary

Addresses

Primary practice location

14 Forest Ave Ste 11
Caldwell, NJ 07006-5208

Mailing address

14 Forest Ave Ste 11
Caldwell, NJ 07006-5208
Phone (862) 210-8994

Other identifiers 1

IdentifierTypeStateIssuer
223134224OtherNJTAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721000038 NJ Practitioner - Chiropractic 1355321456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14 Forest Ave
Suite 11
Caldwell, NJ 07006-5208
Phone (973) 840-7337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC00397800NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jamison Family Chiropractic Center, P. C. Chiropractor CurrentSince Oct 26, 2005 Accepting new patients

Locations

14 Forest Ave
Ste 11
Caldwell, NJ 07006
Phone (862) 210-8994

188 Eagle Rock Ave
Ste 7
Roseland, NJ 07068
Phone (973) 618-5333

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1225102585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FOREST AVE STE 11",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065208",
            "telephone_number": "862-210-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 FOREST AVE STE 11",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065208",
            "telephone_number": "862-210-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "PATRICIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC00397800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "223134224",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.