Active NPI
Mark T Spratford, DC
- Chiropractor
- Watchung, NJ
National Provider Identifier
1265506737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC002987
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MC002987 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Chiropractor
- Watchung, NJ
- NPI 1215031992
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.