Individual provider Active NPI

Mark T Spratford, DC

  • Chiropractor
  • Watchung, NJ
National Provider Identifier
1265506737
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC002987 Issued in NJ
Practice address
736 Mountain Blvd
Watchung, NJ 07069-6243
Phone
(908) 754-6888
Fax
(908) 561-9850
NPI assigned
Nov 17, 2006
Last updated
Dec 31, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC002987 NJ Primary

Addresses

Primary practice location

736 Mountain Blvd
Watchung, NJ 07069-6243

Mailing address

PO Box 4157
Warren, NJ 07059-0157
Phone (908) 754-6888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080221000015 NJ Practitioner - Chiropractic 1355425976 Practice locations: Warren, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3 Mountain Blvd
Warren, NJ 07059-5843
Phone (908) 754-6888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC002987NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiromerge Chiropractic Center PC Chiropractor Past Accepting new patients

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1265506737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4157",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070590157",
            "telephone_number": "908-754-6888",
            "fax_number": "908-561-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 MOUNTAIN BLVD",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696243",
            "telephone_number": "908-754-6888",
            "fax_number": "908-561-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRATFORD",
        "first_name": "MARK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC002987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watchung, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.