Individual provider Active NPI

Derek Scott Martin

  • Chiropractor
  • Somerset, NJ
National Provider Identifier
1235715434
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00781200 Issued in NJ
Practice address
454 Elizabeth Ave
Somerset, NJ 08873-5111
Phone
(301) 992-4603
NPI assigned
Mar 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00781200 NJ Primary

Addresses

Primary practice location

454 Elizabeth Ave
Somerset, NJ 08873-5111

Mailing address

1226 Buckley Way
Morris Plains, NJ 07950-2677
Phone (301) 992-4603

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210325002120 NJ Practitioner - Chiropractic 4880001437 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flemington Chiropractic Center PCGroup PAC ID 6901051184, 4 clinicians

Practice addresses (Care Compare)

105 Hwy 31
Suite 103
Flemington, NJ 08822-5745
Phone (908) 806-3040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Medical of Watchung LLC Chiropractor CurrentSince Mar 9, 2021 Accepting new patients
Flemington Chiropractic Center, P.C. Chiropractor CurrentSince Jun 22, 2022 Accepting new patients
Performance Medical Group of Somerset CurrentSince Mar 1, 2021 Accepting new patients
Baum Advanced Chiropractic LLC CurrentSince Dec 8, 2025 Accepting new patients
Performance Medical Group of Branchburg LLC CurrentSince Jan 4, 2024 Accepting new patients

Locations

3150 US Highway 22
Ste 1
Branchburg, NJ 08876
Phone 9087562424131

3150 US Highway 22
Branchburg, NJ 08876
Phone (908) 552-0996

1011 US Highway 22
Bridgewater, NJ 08807

1011 US Highway 22
Ste 203
Bridgewater, NJ 08807
Phone 9087562424135

105 State Route 31
Ste 103
Flemington, NJ 08822
Phone (908) 806-3040

67 Maple Ave
Ste A
Morristown, NJ 07960
Phone (973) 455-0008

454 Elizabeth Ave
Somerset, NJ 08873
Phone (732) 319-0132

459 Watchung Ave
Watchung, NJ 07069
Phone (908) 274-0988

10 Johnston Dr
Watchung, NJ 07069

Organizations & group practices 5

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": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1235715434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 BUCKLEY WAY",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502677",
            "telephone_number": "301-992-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 ELIZABETH AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735111",
            "telephone_number": "301-992-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DEREK",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00781200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.