Individual provider Active NPI

Christopher J Mattina, DC

  • Chiropractor
  • Edgewater, NJ
National Provider Identifier
1366196636
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00789500 Issued in NJ
Practice address
725 River Rd Ste 113
Edgewater, NJ 07020-1149
Phone
(201) 861-6800
Fax
(201) 962-9068
NPI assigned
Feb 7, 2022
Last updated
Jun 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00789500 NJ Primary

Addresses

Primary practice location

725 River Rd Ste 113
Edgewater, NJ 07020-1149

Mailing address

725 River Rd Ste 113
Edgewater, NJ 07020-1149
Phone (201) 861-6800

Other practice location 1

46 N Central Ave
Ramsey, NJ 07446-1864
Phone (201) 962-9066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240715003071 NJ Practitioner - Chiropractic 7618412537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Health of New Jersey PAGroup PAC ID 3173910536, 4 clinicians

Practice addresses (Care Compare)

46 N Central Ave
Ramsey, NJ 07446-1840
Phone (888) 926-1223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Health of New Jersey PA Chiropractor CurrentSince Jul 1, 2024 Accepting new patients
Park Avenue Rehabilitation LLC Chiropractor PastSince Feb 1, 2022 Accepting new patients

Locations

725 River Rd
Ste 113
Edgewater, NJ 07020
Phone (201) 614-3327

46 N Central Ave
Ramsey, NJ 07446
Phone (201) 588-3491

46 N Central Ave
Fl 1
Ramsey, NJ 07446

323 60th St
West New York, NJ 07093
Phone (201) 861-6800

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1366196636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RIVER RD STE 113",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201149",
            "telephone_number": "201-861-6800",
            "fax_number": "201-962-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RIVER RD STE 113",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201149",
            "telephone_number": "201-861-6800",
            "fax_number": "201-962-9068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 N Central Ave",
            "address_purpose": "LOCATION",
            "city": "Ramsey",
            "state": "NJ",
            "postal_code": "074461864",
            "country_code": "US",
            "telephone_number": "201-962-9066",
            "fax_number": "201-962-9068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTINA",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-07",
        "last_updated": "2023-06-14",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00789500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.