Individual provider Active NPI

Patrick Rafferty Smith, DC

  • Chiropractor
  • Berkeley Heights, NJ
National Provider Identifier
1275670507
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3843 Issued in NJ
Practice address
261 Springfield Ave Ste 202
Berkeley Heights, NJ 07922-1264
Phone
(908) 464-8899
Fax
(908) 464-0199
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3843 NJ Primary

Addresses

Primary practice location

261 Springfield Ave Ste 202
Berkeley Heights, NJ 07922-1264

Mailing address

PO Box 611
Peapack, NJ 07977-0611
Phone (908) 234-2060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111000450 NJ Practitioner - Chiropractic 0446213318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3843NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pat Smith Chiropractic Services LLC Chiropractor CurrentSince Nov 1, 1989 Accepting new patients
Jeannine Baer Feinstein DC LLC Chiropractor CurrentSince May 25, 2025 Accepting new patients
Stallone Chiropractic Center LLC Chiropractor Past Accepting new patients

Locations

261 Springfield Ave
Ste 202
Berkeley Hts, NJ 07922
Phone (908) 464-8899

134 Snyder Ave
Berkeley Hts, NJ 07922
Phone (908) 464-8899

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1275670507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 611",
            "city": "PEAPACK",
            "state": "NJ",
            "postal_code": "079770611",
            "telephone_number": "908-234-2060",
            "fax_number": "908-234-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 SPRINGFIELD AVE STE 202",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221264",
            "telephone_number": "908-464-8899",
            "fax_number": "908-464-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PATRICK",
        "middle_name": "RAFFERTY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "3843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.