Individual provider Active NPI

William Alexander Stetzel, D.C.

  • Chiropractor
  • Morristown, NJ
National Provider Identifier
1609368711
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00752400 Issued in NJ
Practice address
114 Maple Ave Apt 1
Morristown, NJ 07960-8613
Phone
(973) 630-1494
NPI assigned
Jun 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00752400 NJ Primary

Addresses

Primary practice location

114 Maple Ave Apt 1
Morristown, NJ 07960-8613

Mailing address

114 Maple Ave Apt 1
Morristown, NJ 07960-8613
Phone (973) 630-1494

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190829003086 NJ Practitioner - Chiropractic 4789912601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26 Madison Ave
Morristown, NJ 07960-7366
Phone (973) 630-1494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00752400NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Free Flow Chiropractic LLC Chiropractor CurrentSince Jul 2, 2019 Accepting new patients

Locations

26 Madison Ave
Ste 7
Morristown, NJ 07960

26 Madison Ave
Morristown, NJ 07960
Phone (973) 796-3760

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.

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1609368711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MAPLE AVE APT 1",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079608613",
            "telephone_number": "973-630-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MAPLE AVE APT 1",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079608613",
            "telephone_number": "973-630-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETZEL",
        "first_name": "WILLIAM",
        "middle_name": "ALEXANDER",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00752400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.