Mission Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00694800 Issued in NJ

Legal business name

MISSION CHIROPRACTIC, LLC

Practice address

174 State Route 94
Blairstown, NJ 07825-2115

Phone

(908) 362-9522

NPI assigned

Nov 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Sefcik, DCNPI 1457645871

Title

Owner/Chiroprctor

Phone

(917) 671-7198

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael A Sefcik, DC

  • Chiropractor
  • Blairstown, NJ
  • NPI 1457645871
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1245743673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 STATE ROUTE 94",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "078252115",
            "telephone_number": "908-362-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 STATE ROUTE 94",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "078252115",
            "telephone_number": "908-362-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "SEFCIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CHIROPRCTOR",
        "authorized_official_telephone_number": "917-671-7198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00694800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney A Macdonough
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• Rajab Musah, PHARMD
• Barbara Susan Muscaritolo, LDO
• Mark D Nelke, DMD
• North Warren Emergency Medical Services
• Northwest Optometry Group, P.a. (Blairstown Eye Associates)

• Chiropractor in Blairstown, NJ
• Providers in Blairstown, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.