Individual provider Active NPI

Jonathan P Mastrobattista, D.C.

  • Chiropractor
  • Bernardsville, NJ
National Provider Identifier
1275697104
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2966 Issued in NJ
Practice address
10 Anderson Hill Rd
Bernardsville, NJ 07924-2323
Phone
(908) 766-3943
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 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 2966 NJ Primary

Addresses

Primary practice location

10 Anderson Hill Rd
Bernardsville, NJ 07924-2323

Mailing address

10 Anderson Hill Road
The Carraige House
Bernardsville, NJ 07924-2323
Phone (908) 766-3943

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080327000017 NJ Practitioner - Chiropractic 0446332936 Reassigns benefits to 1 organization
Practice locations: Bernardsville, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Anderson Hill Rd
Bernardsville, NJ 07924-2323
Phone (908) 766-3943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2966NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mastrobattista Chiropractic LLC Chiropractor CurrentSince Sep 11, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1275697104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ANDERSON HILL ROAD",
            "address_2": "THE CARRAIGE HOUSE",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242323",
            "telephone_number": "908-766-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ANDERSON HILL RD",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242323",
            "telephone_number": "908-766-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROBATTISTA",
        "first_name": "JONATHAN",
        "middle_name": "P",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "2966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bernardsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.