Organization Active NPI

Dominic Smorra,D.C.,P.a.

  • Chiropractor
  • Caldwell, NJ
National Provider Identifier
1508156183
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC004576 Issued in NJ
Legal business name
DOMINIC SMORRA,D.C.,P.A.
Practice address
18 Ward PL
Caldwell, NJ 07006-5008
Phone
(973) 226-3321
Fax
(973) 226-6654
NPI assigned
Apr 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Dr. Dominic Smorra, D.C.NPI 1699849810
Title
President
Phone
(973) 226-3321

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 MC004576 NJ Primary

Addresses

Primary practice location

18 Ward PL
Caldwell, NJ 07006-5008

Mailing address

18 Ward PL
Caldwell, NJ 07006-5008
Phone (973) 226-3321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110517000527 NJ Part B Supplier - Clinic/Group Practice 0840476388 Receives reassigned benefits from 1 practitioner
Practice locations: Caldwell, NJ; West Caldwell, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1508156183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WARD PL",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065008",
            "telephone_number": "973-226-3321",
            "fax_number": "973-226-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WARD PL",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065008",
            "telephone_number": "973-226-3321",
            "fax_number": "973-226-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIC SMORRA,D.C.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "SMORRA",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-226-3321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC004576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.