Active NPI
Philip C Mesthos, D.C.
- Chiropractor
- Burlington, NJ
National Provider Identifier
1548387533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00303600
- Practice address
- 116 West Broad Street
Burlington, NJ 08016 - Phone
- (609) 386-0997
- NPI assigned
- Mar 23, 2007
- Last updated
- Nov 16, 2016
- 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 | 38MC00303600 | NJ | Primary |
Addresses
Primary practice location
116 West Broad Street
Burlington, NJ 08016
Mailing address
116 West Broad Street
Burlington, NJ 08016
Phone (609) 386-0997
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000450919 | Other | HIGHMARK BLUE SHIELD | |
| 0103451000 | Other | AMERIHEALTH |
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 |
|---|---|---|---|
| 38MC00303600 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1548387533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 WEST BROAD STREET",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "08016",
"telephone_number": "609-386-0997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 WEST BROAD STREET",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "08016",
"telephone_number": "609-386-0997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESTHOS",
"first_name": "PHILIP",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00303600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "000450919",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0103451000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NJ
- Mending Hearts Family Counseling
- Mending Hearts Family Counseling (Mending Hearts Behavioral Health & Family Services)
- Dawn Marie Menna, RN
- Yuen Peng Menna, FNP
- Stuart Mest, M.D.
- Jennifer Mettille
- Pria Milledge, LPN
- Anissa Miller, CNA
- Mindful Living Therapy and Counseling
- Mindfully Healing Mental and Behavioral Wellness Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.