Active NPI
Brendon A Beatrice, D.C.
- Chiropractor
- Raritan, NJ
National Provider Identifier
1801800073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00530500
- Practice address
- 575 State Route 28 Ste 207
Raritan, NJ 08869-1354 - Phone
- (908) 252-9900
- Fax
- (908) 252-9901
- NPI assigned
- Jul 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00530500 | NJ | Primary |
Addresses
Primary practice location
575 State Route 28 Ste 207
Raritan, NJ 08869-1354
Mailing address
575 State Route 28 Ste 207
Raritan, NJ 08869-1354
Phone (908) 252-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1130 Rte
202 BLDG E
Raritan, NJ 08869-1490
Phone (908) 393-9909
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00530500 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somerset Spine & Wellness Group, PC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Neurology Chiropractor
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- NPI 1922274091
-
- Physical Therapist
- Raritan, NJ
- NPI 1952569337
-
- Physical Therapist
- Raritan, NJ
- NPI 1366569006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801800073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 STATE ROUTE 28 STE 207",
"city": "RARITAN",
"state": "NJ",
"postal_code": "088691354",
"telephone_number": "908-252-9900",
"fax_number": "908-252-9901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 STATE ROUTE 28 STE 207",
"city": "RARITAN",
"state": "NJ",
"postal_code": "088691354",
"telephone_number": "908-252-9900",
"fax_number": "908-252-9901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATRICE",
"first_name": "BRENDON",
"middle_name": "A",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00530500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raritan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.