Organization Active NPI

Philip M Dipasquale DC, PA

  • Chiropractor
  • Lodi, NJ
National Provider Identifier
1790859973
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
NJ2380 Issued in NJ
Legal business name
PHILIP M DIPASQUALE DC, PA
Doing business as
Alternative Health Center
Practice address
2 Arnot St Ste 3
Lodi, NJ 07644-1629
Phone
(973) 815-0277
Fax
(973) 815-0288
NPI assigned
Nov 20, 2006
Organization subpart
Yes
Parent organization
085396As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mrs. Philip M Dipasquale, DC, PANPI 1174614234
Title
President
Phone
(973) 815-0277

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 NJ2380 NJ Primary

Addresses

Primary practice location

2 Arnot St Ste 3
Lodi, NJ 07644-1629

Mailing address

2 Arnot St Ste 3
Lodi, NJ 07644-1629
Phone (973) 815-0277

Other identifiers 1

IdentifierTypeStateIssuer
P562826OtherNJOXFORD

Other names 1

  • Alternative Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041119000045 NJ Part B Supplier - Clinic/Group Practice 3476517319 Receives reassigned benefits from 1 practitioner
Practice locations: Maywood, NJ

National Provider Directory

National Provider Directory
Part of
Philip M Dipasquale DC PA

Locations

106 W Pleasant Ave
Maywood, NJ 07607
Phone (201) 820-1441

384 Market St
Saddle Brook, NJ 07663
Phone (201) 843-8701

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1790859973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ARNOT ST STE 3",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441629",
            "telephone_number": "973-815-0277",
            "fax_number": "973-815-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ARNOT ST STE 3",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441629",
            "telephone_number": "973-815-0277",
            "fax_number": "973-815-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP M DIPASQUALE DC, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "085396",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DIPASQUALE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-815-0277",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC, PA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "NJ2380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P562826",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alternative Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lodi, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.