Organization Active NPI

Michael Pappacena, D.C., P.C.

Doing business as Budd Lake Chiropractic

  • Medical Specialty Clinic/Center
  • Budd Lake, NJ
National Provider Identifier
1669744520
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
38MC004687 Issued in NJ
Legal business name
MICHAEL PAPPACENA, D.C., P.C.
Doing business as
Budd Lake Chiropractic
Practice address
140 US Highway 46
Suite B
Budd Lake, NJ 07828-2513
Phone
(973) 691-4333
Fax
(973) 691-0993
NPI assigned
Feb 7, 2012
Last updated
Feb 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Dr. Michael Pappacena, D.C.NPI 1063419257
Title
President
Phone
(973) 691-4333

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 38MC004687 NJ Primary

Addresses

Primary practice location

140 US Highway 46
Suite B
Budd Lake, NJ 07828-2513

Mailing address

140 US Highway 46
Suite B
Budd Lake, NJ 07828-2513
Phone (973) 691-4333

Other names 1

  • Budd Lake Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111230000450 NJ Part B Supplier - Clinic/Group Practice 8022284751 Receives reassigned benefits from 1 practitioner
Practice locations: Budd Lake, NJ

National Provider Directory

National Provider Directory

Locations

140 US Highway 46
#B
Budd Lake, NJ 07828
Phone (973) 691-4333

140 US Highway 46
Ste B
Budd Lake, NJ 07828
Phone (973) 691-4333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1669744520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 US HIGHWAY 46",
            "address_2": "SUITE B",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078282513",
            "telephone_number": "973-691-4333",
            "fax_number": "973-691-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 US HIGHWAY 46",
            "address_2": "SUITE B",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078282513",
            "telephone_number": "973-691-4333",
            "fax_number": "973-691-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL PAPPACENA, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "PAPPACENA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-691-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "38MC004687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Budd Lake Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Budd Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.