Steven B Dickert, D.C.
Individual provider Active NPI Chiropractor · Dayton, NJ
NPI 1619973898 · NPPES record last updated Oct 22, 2008
Key facts
- NPI
- 1619973898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- MC02937 (NJ)
- Practice address
- 58 Wetherhill Way
Dayton, NJ 08810-1610 - Phone
- (732) 329-2255
- Fax
- (732) 329-2228
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fischer Chiropractor Center, a Professional Association
Practice addresses (Care Compare)
320 White Horse Ave
Trenton, NJ 08610-1412
Phone (609) 585-9222
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051020000260 | NJ | Practitioner - Chiropractic | 4183640428 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC02937 | NJ | MD | Chiropractor |
| X003329 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fischer Chiropractor Center, a Professional Association | Chiropractor | Current |
Accepting new patients |
Locations
320 Whitehorse Ave
Trenton, NJ 08610
Phone (609) 525-9222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC02937 | NJ | Yes |
| Chiropractor | 111N00000X | X003329 | NY |
Addresses
Primary practice location
58 Wetherhill Way
Dayton, NJ 08810-1610
Mailing address
58 Wetherhill Way
Dayton, NJ 08810-1610
Phone (732) 329-2255
Other providers in Dayton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.