Mark Thomas Carrick, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00630800 Issued in NJ

Practice address

975 State Route 173
Bloomsbury, NJ 08804

Phone

(908) 479-6988

Fax

(908) 479-6980

NPI assigned

Jul 24, 2006

Last updated

Dec 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mark T. Carrick, DC

  • Chiropractor
  • Bloomsbury, NJ
  • NPI 1649415985
  NPD (past) Authorized official
• Active Health Chiropractic, LLC

  • Chiropractor
  • Milford, NJ
  • NPI 1487809109
  NPD (past)
• Lauck Chiropractic Health Center Inc.

  • Chiropractor
  • Milford, NJ
  • NPI 1003187154
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1295757763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 377",
            "city": "BLOOMSBURY",
            "state": "NJ",
            "postal_code": "088040377",
            "telephone_number": "908-479-6988",
            "fax_number": "908-479-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 STATE ROUTE 173",
            "city": "BLOOMSBURY",
            "state": "NJ",
            "postal_code": "08804",
            "telephone_number": "908-479-6988",
            "fax_number": "908-479-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRICK",
        "first_name": "MARK",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00630800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099929",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Michael Badway
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• Bloomsbury Rescue Squad
• Georgette Brackett
• Kayley Marie Brooks
• Edward Francis Caruso, MD
• Central Jersey Speech and Language Center
• Elaine Crivello
• Catharine Duffy, RPH
• E Caruso MD LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.