Individual provider Active NPI

Peter Miles Jeremich, DC

  • Chiropractor
  • Matawan, NJ
National Provider Identifier
1437816360
Registry record updated Nov 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00785300 Issued in NJ
Practice address
245 Main St Ste 2M
Matawan, NJ 07747-2007
Phone
(732) 583-0600
NPI assigned
Nov 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00785300 NJ Primary

Addresses

Primary practice location

245 Main St Ste 2M
Matawan, NJ 07747-2007

Mailing address

245 Main St Ste 2M
Matawan, NJ 07747-2007
Phone (732) 583-0600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220110000718 NJ Practitioner - Chiropractic 4082006713 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

Practice addresses (Care Compare)

245 Main St
Suite 2M
Matawan, NJ 07747-2007
Phone (732) 583-0600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
About You Chiropractic Matawan LLC Chiropractor Current Accepting new patients
About You Chiropractic, LLC Chiropractor CurrentSince Dec 1, 2021 Accepting new patients

Locations

245 Main St
Ste 2M
Matawan, NJ 07747
Phone (732) 242-4536

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638057600000",
    "number": "1437816360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 MAIN ST STE 2M",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472007",
            "telephone_number": "732-583-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 MAIN ST STE 2M",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472007",
            "telephone_number": "732-583-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEREMICH",
        "first_name": "PETER",
        "middle_name": "MILES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-28",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00785300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2021; 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.