Individual provider Active NPI

Derrick Lawlor, D.C.

  • Chiropractor
  • Denville, NJ
National Provider Identifier
1447661129
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00717100 Issued in NJ
Practice address
161 E Main St # 2
Denville, NJ 07834-2647
Phone
(973) 627-7888
NPI assigned
May 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00717100 NJ Primary
Chiropractor 111N00000X X012518 NY

Addresses

Primary practice location

161 E Main St # 2
Denville, NJ 07834-2647

Mailing address

21 Baxter LN
New Windsor, NY 12553-8938

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150824000256 NJ Practitioner - Chiropractic 3971818725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denville Medical Associates, LLCGroup PAC ID 4385116250, 3 clinicians

Practice addresses (Care Compare)

161 E Main St
Suite 201
Denville, NJ 07834-2647
Phone 9736277888124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X012518NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Denville Medical Health Center & Sports Rehab P.C. Chiropractor CurrentSince Jun 22, 2015 Accepting new patients

Locations

161 E Main St
#2
Denville, NJ 07834
Phone (973) 627-7888

161 E Main St
Ste 200
Denville, NJ 07834
Phone (973) 627-7888

161 E Main St
Denville, NJ 07834
Phone (973) 586-1212

161 E Main St
Ste 2
Denville, NJ 07834

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": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1447661129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BAXTER LN",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125538938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 E MAIN ST # 2",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342647",
            "telephone_number": "973-627-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLOR",
        "first_name": "DERRICK",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00717100",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.