Individual provider Active NPI

Michael Dispenziere Jr., DC

  • Chiropractor
  • Far Hills, NJ
National Provider Identifier
1275157729
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00771200 Issued in NJ
Practice address
55 US Highway 202
Far Hills, NJ 07931-2445
Phone
(908) 956-3984
Fax
(732) 316-4005
NPI assigned
Jun 1, 2020
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00771200 NJ Primary

Addresses

Primary practice location

55 US Highway 202
Far Hills, NJ 07931-2445

Mailing address

55 US Highway 202
Far Hills, NJ 07931-2445
Phone (908) 956-3984

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200623000021 NJ Practitioner - Chiropractic 0547682403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recharge Chiropractic and Sports Rehab LLCGroup PAC ID 7214389816, 2 clinicians

Practice addresses (Care Compare)

55 US Hwy 202
Far Hills, NJ 07931-2445
Phone (908) 956-3984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00771200NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Recharge Chiropractic and Sports Rehab LLC Chiropractor CurrentSince Feb 15, 2023 Accepting new patients

Locations

55 US Highway 202
Far Hills, NJ 07931
Phone (908) 956-3984

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1275157729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 US HIGHWAY 202",
            "city": "FAR HILLS",
            "state": "NJ",
            "postal_code": "079312445",
            "telephone_number": "908-956-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 US HIGHWAY 202",
            "city": "FAR HILLS",
            "state": "NJ",
            "postal_code": "079312445",
            "telephone_number": "908-956-3984",
            "fax_number": "732-316-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISPENZIERE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-01",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00771200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Hills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.