Justin Gerard Di Maio, D.C.

Individual provider Active NPI Chiropractor · West Milford, NJ

NPI 1831589407 · NPPES record last updated Jan 16, 2019

Key facts

NPI
1831589407
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
38MC00722800 (NJ)
Practice address
1554 Union Valley Rd
West Milford, NJ 07480-1357
Phone
(973) 296-0742
NPI assigned
Feb 3, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Di Maio and Torp LLC (2 clinicians)

Practice addresses (Care Compare)

1554 Union Valley Rd
West Milford, NJ 07480-1357
Phone (973) 728-1188

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160309000277 NJ Practitioner - Chiropractic 3476859026 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
38MC00722800NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Di Maio & Torp LLC Chiropractor Current
since Jan 1, 2022
Accepting new patients

Locations

1554 Union Valley Rd
West Milford, NJ 07480
Phone (973) 728-1188

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00722800 NJ Yes

Addresses

Primary practice location

1554 Union Valley Rd
West Milford, NJ 07480-1357

Mailing address

48 Alvin Rd
West Milford, NJ 07480-1646
Phone (973) 296-0742

Other providers in West Milford, NJ

All providers in West Milford, NJ · Chiropractor in New Jersey

Sources for this page

Verify at the official NPI Registry.