Organization Active NPI

Mark T. Carrick, DC

  • Chiropractor
  • Bloomsbury, NJ
National Provider Identifier
1649415985
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00630800 Issued in NJ
Legal business name
MARK T. CARRICK, DC
Practice address
960 Route 173
Bloomsbury, NJ 08804-3112
Phone
(908) 479-6988
Fax
(908) 479-6980
NPI assigned
Dec 15, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Mark T Carrick, D.C.NPI 1295757763
Title
Owner
Phone
(908) 479-6988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00630800 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

960 Route 173
Bloomsbury, NJ 08804-3112

Mailing address

PO Box 377
Bloomsbury, NJ 08804-0377
Phone (908) 479-6988

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
099929MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 15, 2008.

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1649415985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 377",
            "city": "BLOOMSBURY",
            "state": "NJ",
            "postal_code": "088040377",
            "telephone_number": "908-479-6988",
            "fax_number": "908-479-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 ROUTE 173",
            "city": "BLOOMSBURY",
            "state": "NJ",
            "postal_code": "088043112",
            "telephone_number": "908-479-6988",
            "fax_number": "908-479-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK T. CARRICK, DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "CARRICK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-479-6988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00630800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099929",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.