Organization Active NPI

Shuemate Specific Chiropractic LLC

  • Chiropractor
  • Minotola, NJ
National Provider Identifier
1508666587
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SHUEMATE SPECIFIC CHIROPRACTIC LLC
Practice address
1079 W Summer Ave.
Minotola, NJ 08341
Phone
(609) 774-1898
NPI assigned
Mar 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Dr. Mason Nicholas Shuemate, DCNPI 1689423345
Title
Doctor of Chiropractic
Phone
(609) 774-1898

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 Primary

Addresses

Primary practice location

1079 W Summer Ave.
Minotola, NJ 08341

Mailing address

1079 W Summer Ave.
Minotola, NJ 08341

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250519002329 NJ Part B Supplier - Clinic/Group Practice 0345768859 Receives reassigned benefits from 1 practitioner
Practice locations: Minotola, NJ

National Provider Directory

National Provider Directory

Locations

1079 W Summer Rd
Minotola, NJ 08341
Phone (609) 774-1898

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": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1508666587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 W SUMMER AVE.",
            "city": "MINOTOLA",
            "state": "NJ",
            "postal_code": "08341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 W SUMMER AVE.",
            "city": "MINOTOLA",
            "state": "NJ",
            "postal_code": "08341",
            "telephone_number": "609-774-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUEMATE SPECIFIC CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "SHUEMATE",
        "authorized_official_first_name": "MASON",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "609-774-1898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minotola, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.