Twin Meadows LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00735600 Issued in NJ

Legal business name

TWIN MEADOWS LLC

Practice address

384 Shunpike Rd
Chatham, NJ 07928-1659

Phone

(973) 525-7213

NPI assigned

Aug 2, 2017

Organization subpart

No

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

Authorized official

Name

Dr. David Luke Dijkstra, DCNPI 1578011235

Title

Sports Chiropractor / Member

Phone

(973) 525-7213

Specialties & licenses 2

Addresses

Other names 1

• Precision Spine and Sport Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• David Luke Dijkstra, D.C.

  • Sports Physician Chiropractor
  • Mendham, NJ
  • NPI 1578011235
  Medicare reassignment Care Compare group Authorized official
• Adam Mitola

  • Chiropractor
  • Chatham, NJ
  • NPI 1841162807
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501632000000",
    "number": "1760906531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COREY LN",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079453309",
            "telephone_number": "973-525-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 SHUNPIKE RD",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079281659",
            "telephone_number": "973-525-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN MEADOWS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A",
        "authorized_official_last_name": "DIJKSTRA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LUKE",
        "authorized_official_title_or_position": "SPORTS CHIROPRACTOR / MEMBER",
        "authorized_official_telephone_number": "973-525-7213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00735600",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00735600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Spine and Sport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Tranquilli, MA, OTR/L
• Trans Continental Healthcare, LLC
• Joseph Tribuna, M.D
• Beth Troso, MSW, LCSW
• Julia Turovsky, PH.D.
• Barbara O Uwuimwonse
• Kyla Isabella Vacchio, OTD, OTR/L
• Tiffani Valentin
• Matthew Van Bloem
• Vanny Le Corp

• Chiropractor in Chatham, NJ
• Providers in Chatham, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.