James W Mattison Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00514100 Issued in NJ

Practice address

480 Memorial Pkwy
Phillipsburg, NJ 08865-1575

Phone

(908) 454-8808

Fax

(908) 998-4762

NPI assigned

Mar 28, 2006

Last updated

Jan 15, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Active Wellness, LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1902162662
  Medicare reassignment NPD
• Essential Health LLC

  • Chiropractor
  • Phillipsburg, NJ
  • NPI 1821439282
  Authorized official Same address or phone
• State Line Chiropractic and Wellness Center Inc

  • Chiropractor
  • Phillipsburg, NJ
  • NPI 1346469822
  Authorized official Same address or phone
• Active Wellness LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1891120408
  NPD

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1538120878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 MEMORIAL PKWY",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651575",
            "telephone_number": "908-454-8808",
            "fax_number": "908-998-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MEMORIAL PKWY",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651575",
            "telephone_number": "908-454-8808",
            "fax_number": "908-998-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00514100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "319723YVXP",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "002420TST",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel A Mascarenhas, MD
• Johnny Mathis, ASRL
• Matlock Chiropractic LLC (The Matlock Center)
• John Anthony Matlock, D.C.
• Rebecca Marie Matlock, D.C.
• Danielle Maurice, PT, DPT
• Vanessa L Mavrode, PT, DPT
• Jill M McCormick, M.S., R.D., L.D.N.
• Maureen McCoy, BA
• William Steven McEwen, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.