Individual provider Active NPI

Peter A. Murray, D.C.

  • Chiropractor
  • Hackettstown, NJ
National Provider Identifier
1518052810
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC004352 Issued in NJ
Practice address
108 High Street
Hackettstown, NJ 07840-0443
Phone
(908) 813-3120
Fax
(908) 684-0228
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC004352 NJ Primary

Addresses

Primary practice location

108 High Street
Hackettstown, NJ 07840-0443

Mailing address

P O Box 443
Hackettstown, NJ 07840-0443
Phone (908) 813-3120

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070131000367 NJ Practitioner - Chiropractic 9335140524 Practice locations: Hackettstown, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

108 High St
Hackettstown, NJ 07840-0443

108 High St
Hackettstown, NJ 07840-1936
Phone (908) 813-3120

PO Box
Suite 443
Hackettstown, NJ 07840-0443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC004352NJMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1518052810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 443",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078400443",
            "telephone_number": "908-813-3120",
            "fax_number": "908-684-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 HIGH STREET",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078400443",
            "telephone_number": "908-813-3120",
            "fax_number": "908-684-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "PETER",
        "middle_name": "A.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC004352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.