Family Chiropractic of Clark LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00600800 Issued in NJ

Legal business name

FAMILY CHIROPRACTIC OF CLARK LLC

Practice address

1114 Raritan Rd
Suite 4
Clark, NJ 07066-1330

Phone

(732) 388-3828

Fax

(732) 388-3829

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tricia Mastropietro, BA DCNPI 1528145836

Title

Owner

Phone

(732) 388-3828

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tricia Mastropietro, BA DC

  • Chiropractor
  • Clark, NJ
  • NPI 1528145836
  Medicare reassignment Authorized official
• Tania Mastropietro Cosmi

  • Chiropractor
  • Clark, NJ
  • NPI 1225543366
  Medicare reassignment NPD

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1275744260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 RARITAN RD",
            "address_2": "SUITE 4",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661330",
            "telephone_number": "732-388-3828",
            "fax_number": "732-388-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 RARITAN RD",
            "address_2": "SUITE 4",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661330",
            "telephone_number": "732-388-3828",
            "fax_number": "732-388-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC OF CLARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "MASTROPIETRO",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-388-3828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BA DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00600800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID #",
            "identifier": "3698573",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID",
            "identifier": "P2901780",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00192623",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dinah Essien, WHNP-BC
• Johanna Melissa Estevez, RBT
• Neil Michael S Estrella, M.D.
• Jeffrey Allen Everitt, D.M.D.
• Jacob Fahringer, PT, DPT
• Family Choice Hospice, LLC
• Nicole Faria, OTR
• Ferris Home Rehabilitation LLC
• Ryan Andrew Finkel, MD
• First Health, P.a.

• Chiropractor in Clark, NJ
• Providers in Clark, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.