Individual provider Active NPI

Mason Nicholas Shuemate, DC

  • Chiropractor
  • Minotola, NJ
National Provider Identifier
1689423345
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00805000 Issued in NJ
Practice address
1079 W Summer Rd
Minotola, NJ 08341-1032
Phone
(609) 805-6457
NPI assigned
May 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00805000 NJ Primary

Addresses

Primary practice location

1079 W Summer Rd
Minotola, NJ 08341-1032

Mailing address

PO Box 193
Richland, NJ 08350-0193
Phone (609) 805-6457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250304000205 PA Practitioner - Chiropractic 4587185806 Reassigns benefits to 1 organization
I20250519002447 NJ Practitioner - Chiropractic 4587185806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Upper Cervical Chiropractic Neurology Center, LLCGroup PAC ID 7517262967, 3 clinicians

Practice addresses (Care Compare)

533 W Uwchlan Ave
Suite 101
Downingtown, PA 19335-1763
Phone (484) 593-0328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00805000NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Shuemate Specific Chiropractic LLC Chiropractor CurrentSince Apr 1, 2025 Accepting new patients
Upper Cervical Chiropractic Neurology Center, LLC Chiropractor CurrentSince Dec 30, 2024 Accepting new patients
Upper Cervical Chiropractic Neurology Center, P.C. Chiropractor Past Accepting new patients

Locations

1079 W Summer Rd
Minotola, NJ 08341
Phone (609) 774-1898

533 W Uwchlan Ave
Ste 101
Downingtown, PA 19335
Phone (484) 593-0328

Organizations & group practices 3

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": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1689423345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193",
            "city": "RICHLAND",
            "state": "NJ",
            "postal_code": "083500193",
            "telephone_number": "609-805-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 W SUMMER RD",
            "city": "MINOTOLA",
            "state": "NJ",
            "postal_code": "083411032",
            "telephone_number": "609-805-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUEMATE",
        "first_name": "MASON",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00805000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minotola, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.