Individual provider Active NPI

Matthew Evan Dutka, D.C.

  • Chiropractor
  • Neptune, NJ
National Provider Identifier
1427099415
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00596700 Issued in NJ
Practice address
3520 State Route 33 Ste D
Neptune, NJ 07753-3042
Phone
(732) 776-2400
Fax
(732) 776-9889
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00596700 NJ Primary

Addresses

Primary practice location

3520 State Route 33 Ste D
Neptune, NJ 07753-3042

Mailing address

3520 State Route 33 Ste D
Neptune, NJ 07753-3042
Phone (732) 776-2400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060207000893 NJ Practitioner - Chiropractic 4587678966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3520 Route 33
Suite D
Neptune, NJ 07753-3042
Phone (732) 776-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Chiropractic Center, LLC Chiropractor CurrentSince Dec 16, 2005 Accepting new patients

Locations

3520 State Route 33
Ste D
Neptune, NJ 07753
Phone (732) 776-2400

230 Neptune Blvd
Neptune City, NJ 07753
Phone (732) 774-4040

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1427099415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 STATE ROUTE 33 STE D",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533042",
            "telephone_number": "732-776-2400",
            "fax_number": "732-776-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 STATE ROUTE 33 STE D",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533042",
            "telephone_number": "732-776-2400",
            "fax_number": "732-776-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTKA",
        "first_name": "MATTHEW",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00596700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.