Michael J. Duddy, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3240 Issued in NJ

Practice address

115 Horseneck Rd
Montville, NJ 07045-9365

Phone

(973) 299-7000

Fax

(973) 299-6061

NPI assigned

Oct 4, 2006

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fit for Life Chiropractic Center

  • Chiropractor
  • Montville, NJ
  • NPI 1801062781
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1609961721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 HORSENECK RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459365",
            "telephone_number": "973-299-7000",
            "fax_number": "973-299-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HORSENECK RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459365",
            "telephone_number": "973-299-7000",
            "fax_number": "973-299-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDDY",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "3240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Derosa, PH.D.
• Developmental Disability Awareness With Love (Ddawl)
• Michele J Dimaira, D.M.D., M.S.
• Jill Lauren Dolinko, PT, DPT
• Suzanne M Donohue, LCSW
• Anne K Effron, MSW, LCSW, BCD
• Stephanie Ann Elsing
• Frederick Harrison Ernst, DMD
• Anne Marie Evered, LSW
• Falcon Medical Corp

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.