Active NPI
Anthony R. Dipastina, D.C.
- Chiropractor
- Lawrenceville, NJ
National Provider Identifier
1508991811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC02210
- Practice address
- 2141 US Highway 1
Lawrenceville, NJ 08648-4407 - Phone
- (609) 394-5111
- Fax
- (609) 394-8242
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC02210 | NJ | Primary |
Addresses
Primary practice location
2141 US Highway 1
Lawrenceville, NJ 08648-4407
Mailing address
PO Box 55845
Trenton, NJ 08638-6845
Phone (609) 394-5111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8040109 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC02210 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Pain and Rehab Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Lawrenceville, NJ
- NPI 1992009849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1508991811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55845",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086386845",
"telephone_number": "609-394-5111",
"fax_number": "609-394-8242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2141 US HIGHWAY 1",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086484407",
"telephone_number": "609-394-5111",
"fax_number": "609-394-8242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIPASTINA",
"first_name": "ANTHONY",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC02210",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8040109",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.