Patrick C Mack DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00565100 Issued in NJ

Legal business name

PATRICK C MACK DC PC

Doing business as

MACK CHIROPRACTIC

Practice address

269 State Route 31 S
Suite 5
Washington, NJ 07882-4086

Phone

(908) 689-5110

Fax

(908) 689-5409

NPI assigned

Jul 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Patrick C Mack, DCNPI 1871504688

Title

President

Phone

(908) 689-5110

Specialties & licenses 1

Addresses

Other names 1

• MACK CHIROPRACTIC Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick C Mack, D.C.

  • Chiropractor
  • Washington, NJ
  • NPI 1871504688
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1609032770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 STATE ROUTE 31 S",
            "address_2": "SUITE 5",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078824086",
            "telephone_number": "908-689-5110",
            "fax_number": "908-689-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 STATE ROUTE 31 S",
            "address_2": "SUITE 5",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078824086",
            "telephone_number": "908-689-5110",
            "fax_number": "908-689-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK C MACK DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-689-5110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00565100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MACK CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pao Behavioral Services LLC
• Dhaval J. Patel, PHARM.D., R.PH.
• Nirav M Patel, DMD
• Jeanette Diane Paterno, MD
• Ali Patino Jr.
• Elizabeth B. Patterson, LCSW
• Ellen Patterson, D.M.D.
• Jennifer Lynn Paull, DPT OCS
• Jennifer Pax
• Katherine S Penaherrera, LSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.