Organization Active NPI

Jamison Family Chiropractic Center, P. C.

  • Chiropractor
  • Caldwell, NJ
National Provider Identifier
1699978080
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC003978 Issued in NJ
Legal business name
JAMISON FAMILY CHIROPRACTIC CENTER, P. C.
Practice address
14 Forest Ave Ste 11
Caldwell, NJ 07006-5208
Phone
(862) 210-8994
Fax
(862) 210-8994
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Authorized official

Name
Dr. Patricia Marie Jamison, D. C.NPI 1225102585
Title
Owner
Phone
(862) 210-8994

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X MC003978 NJ Primary

Addresses

Primary practice location

14 Forest Ave Ste 11
Caldwell, NJ 07006-5208

Mailing address

14 Forest Ave Ste 11
Caldwell, NJ 07006-5208
Phone (862) 210-8994

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070706000580 NJ Part B Supplier - Clinic/Group Practice 3375643208 Receives reassigned benefits from 1 practitioner
Practice locations: Caldwell, NJ

National Provider Directory

National Provider Directory

Locations

14 Forest Ave
Ste 11
Caldwell, NJ 07006
Phone (862) 210-8994

188 Eagle Rock Ave
Ste 7
Roseland, NJ 07068
Phone (973) 618-5333

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1699978080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FOREST AVE STE 11",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065208",
            "telephone_number": "862-210-8994",
            "fax_number": "862-210-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 FOREST AVE STE 11",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065208",
            "telephone_number": "862-210-8994",
            "fax_number": "862-210-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMISON FAMILY CHIROPRACTIC CENTER, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-210-8994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC003978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.