Jared M Duddy, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC007108L Issued in PA

Practice address

645 E Butler Ave
New Britain, PA 18901-5300

Phone

(215) 230-1999

Fax

(215) 230-0363

NPI assigned

Dec 13, 2006

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 12

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiropractic Health Clinic of Sparta, LLCGroup PAC ID 9133426307, 4 clinicians

Duddy ChiropracticGroup PAC ID 7315927357, 2 clinicians

Chiropractic Health Clinic of Stewartsville LLCGroup PAC ID 6507132958, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Duddy Chiropractic

  • Chiropractor
  • Easton, PA
  • NPI 1073681607
  Medicare reassignment Care Compare group NPD
• Chiropractic Health Clinic of Sparta, LLC

  • Chiropractor
  • Sparta, NJ
  • NPI 1407224389
  Medicare reassignment Care Compare group NPD
• Chiropractic Health Clinic of Stewartsville LLC

  • Chiropractor
  • Stewartsville, NJ
  • NPI 1750813200
  Medicare reassignment Care Compare group NPD
• Chiropractic Health Clinic

  • Chiropractor
  • Stewartsville, NJ
  • NPI 1528234770
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316008022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E BUTLER AVE",
            "city": "NEW BRITAIN",
            "state": "PA",
            "postal_code": "189015300",
            "telephone_number": "215-230-1999",
            "fax_number": "215-230-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 E BUTLER AVE",
            "city": "NEW BRITAIN",
            "state": "PA",
            "postal_code": "189015300",
            "telephone_number": "215-230-1999",
            "fax_number": "215-230-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDDY",
        "first_name": "JARED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007108L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTI PLAN",
            "identifier": "12047381",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5020659",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC  AHA  KEYSTONE",
            "identifier": "0452630000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD  TRIAD",
            "identifier": "P3244214",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "101388",
            "identifier": "GEISSINGER HEALTH",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "4501062",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN",
            "identifier": "1032227",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH CCN",
            "identifier": "5687279",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATING ENGINEERS",
            "identifier": "79152",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBC",
            "identifier": "5864360",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "607153",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNTIED HEALTHCARE",
            "identifier": "2047440",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Dacier, MD
• Jeffrey J Danzis, DO
• Donna Marie Degnan, CRNP
• Kari R Diamond, PT
• Edward R Dipaul, D.M.D.
• Embrace Physical Therapy
• Aileen Gallagher
• Ira Lance Gartenberg, M.S.
• Wendy Barrer Gartenberg, LCSW
• Aimee L Goldman, PA-C

• Chiropractor in New Britain, PA
• Providers in New Britain, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.