Individual provider Active NPI

James A. Dimattia, D.C.

  • Chiropractor
  • Lawrenceville, NJ
National Provider Identifier
1245262807
Registry record updated Sep 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00587600 Issued in NJ
Practice address
1200 Lawrenceville Rd
Suite 2-B
Lawrenceville, NJ 08648-3551
Phone
(609) 883-9262
Fax
(609) 883-9263
NPI assigned
Jul 6, 2006
Last updated
Sep 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010385 NY
Chiropractor 111N00000X DC8615 PA
Chiropractor 111N00000X DC899 HI
Chiropractor 111N00000X CH11667 FL
Chiropractor 111N00000X 38MC00587600 NJ Primary

Addresses

Primary practice location

1200 Lawrenceville Rd
Suite 2-B
Lawrenceville, NJ 08648-3551

Mailing address

1200 Lawrenceville Rd
Suite 2-B
Lawrenceville, NJ 08648-3551
Phone (609) 883-9262

Other identifiers 7

IdentifierTypeStateIssuer
001379554OtherNJPPO IND. BLUE CROSS
223827990OtherNJUNITED HEALTHCARE
3309992OtherNJAETNA
2071261000OtherNJHMO IND. BLUE CROSS
223827990OtherNJBLUE CROSS BLUE SHIELD
223827990OtherNJCIGNA
P3308235OtherNJOXFORD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629000555 NJ Practitioner - Chiropractic 7113903139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Gordon Ave
Suite 1
Lawrenceville, NJ 08648-1087
Phone (609) 896-2737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH11667FLMDChiropractor
DC899HIMDChiropractor
38MC00587600NJMDChiropractor
X010385NYMDChiropractor
DC8615PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
James a. Dimattia, D.C., P.C. Chiropractor CurrentSince Jan 1, 2002 Accepting new patients

Locations

11 Gordon Ave
Ste 1
Lawrenceville, NJ 08648
Phone (609) 896-2737

1200 Lawrenceville Rd
Ste 2B
Lawrenceville, NJ 08648
Phone (609) 883-9262

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569110400000",
    "number": "1245262807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 LAWRENCEVILLE RD",
            "address_2": "SUITE 2-B",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086483551",
            "telephone_number": "609-883-9262",
            "fax_number": "609-883-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LAWRENCEVILLE RD",
            "address_2": "SUITE 2-B",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086483551",
            "telephone_number": "609-883-9262",
            "fax_number": "609-883-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMATTIA",
        "first_name": "JAMES",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010385",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC8615",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC899",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11667",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00587600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO IND. BLUE CROSS",
            "identifier": "001379554",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "223827990",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3309992",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO IND. BLUE CROSS",
            "identifier": "2071261000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "223827990",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "223827990",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3308235",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.