Organization Active NPI

Madison Avenue Chiropractic Group, P.C.

  • Chiropractor
  • Morristown, NJ
National Provider Identifier
1407184906
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00474000 Issued in NJ
Legal business name
MADISON AVENUE CHIROPRACTIC GROUP, P.C.
Practice address
95 Madison Ave
Suite 407
Morristown, NJ 07960-6092
Phone
(973) 683-0300
Fax
(973) 683-0301
NPI assigned
Nov 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Authorized official

Name
Frederick Thomas Stinner, D.C.NPI 1992854293
Title
President
Phone
(973) 683-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00474000 NJ Primary

Addresses

Primary practice location

95 Madison Ave
Suite 407
Morristown, NJ 07960-6092

Mailing address

95 Madison Ave
Suite 407
Morristown, NJ 07960-6092
Phone (973) 683-0300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091105000401 NJ Part B Supplier - Clinic/Group Practice 8224176680 Receives reassigned benefits from 1 practitioner
Practice locations: Morristown, NJ

National Provider Directory

National Provider Directory

Locations

95 Madison Ave
Ste 407
Morristown, NJ 07960
Phone (973) 683-0300

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1407184906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MADISON AVE",
            "address_2": "SUITE 407",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606092",
            "telephone_number": "973-683-0300",
            "fax_number": "973-683-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MADISON AVE",
            "address_2": "SUITE 407",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606092",
            "telephone_number": "973-683-0300",
            "fax_number": "973-683-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON AVENUE CHIROPRACTIC GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "STINNER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-683-0300",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00474000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.