Matthew Frank Mendillo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00723600 Issued in NJ

Practice address

17 N Main St
Marlboro, NJ 07746-1439

Phone

(732) 431-2155

NPI assigned

Sep 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced WellnessGroup PAC ID 2163436148, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Wellness

  • Chiropractor
  • Marlboro, NJ
  • NPI 1326053273
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506643200000",
    "number": "1487849980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 N MAIN ST",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461439",
            "telephone_number": "732-431-2155",
            "fax_number": "732-431-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N MAIN ST",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461439",
            "telephone_number": "732-431-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDILLO",
        "first_name": "MATTHEW",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-09",
        "last_updated": "2017-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00559",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3653",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00723600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LICENSE NUMBER",
            "identifier": "3653",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE NUMBER",
            "identifier": "38MC00723600",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R.I. LICENSE NUMBER",
            "identifier": "DCP00559",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Susan Meehan, MS, LAC
• Priti Mehra-Verma, OD
• Amor Ruyintan Mehta, MD
• Edmond John Balatbat Mejia-Ventura
• Carlos Mejias-Ventura
• Stephanie Price Messa, M.D.
• Shira A Meyer, DO
• Alina Mikhaylova, LMSW
• Deanna Miller, NP
• Stefanie Milrud

• Chiropractor in Marlboro, NJ
• Providers in Marlboro, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; 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.