Organization Active NPI

Edison Spine & Joint Care LLC

  • Chiropractor
  • Edison, NJ
National Provider Identifier
1265057699
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EDISON SPINE & JOINT CARE LLC
Practice address
2 Lincoln Highway
Suite 311a
Edison, NJ 08820
Phone
(732) 243-9252
Fax
(732) 243-9253
NPI assigned
Jun 11, 2020
Last updated
May 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Dr. Matthew Scott Eagelton, DCNPI 1447802855
Title
Doctor/Owner
Phone
(732) 881-6171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

2 Lincoln Highway
Suite 311a
Edison, NJ 08820

Mailing address

2 Lincoln Highway
Suite 311a
Edison, NJ 08820
Phone (732) 243-9252

National Provider Directory

National Provider Directory

Locations

2 Lincoln Hwy
Ste 311A
Edison, NJ 08820
Phone (732) 372-7701

44 Lincoln Hwy
Ste 220D
Edison, NJ 08820

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1265057699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LINCOLN HIGHWAY",
            "address_2": "SUITE 311A",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-243-9252",
            "fax_number": "732-243-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LINCOLN HIGHWAY",
            "address_2": "SUITE 311A",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-243-9252",
            "fax_number": "732-243-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON SPINE & JOINT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "EAGELTON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "732-881-6171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.