Organization Active NPI

Mastrobattista Chiropractic LLC

  • Chiropractor
  • Bernardsville, NJ
National Provider Identifier
1851456784
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2966 Issued in NJ
Legal business name
MASTROBATTISTA CHIROPRACTIC LLC
Practice address
10 Anderson Hill Rd
Bernardsville, NJ 07924-2323
Phone
(908) 766-3943
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Authorized official

Name
Dr. Jonathan P Mastrobattista, DCNPI 1275697104
Title
Owner-Doctor
Phone
(908) 766-3943

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 2966 NJ Primary

Addresses

Primary practice location

10 Anderson Hill Rd
Bernardsville, NJ 07924-2323

Mailing address

10 Anderson Hill Rd
Bernardsville, NJ 07924-2323
Phone (908) 766-3943

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200114003486 NJ Part B Supplier - Clinic/Group Practice 0345675641 Receives reassigned benefits from 1 practitioner
Practice locations: Bernardsville, NJ

National Provider Directory

National Provider Directory

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": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1851456784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ANDERSON HILL RD",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242323",
            "telephone_number": "908-766-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ANDERSON HILL RD",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242323",
            "telephone_number": "908-766-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTROBATTISTA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "MASTROBATTISTA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER-DOCTOR",
        "authorized_official_telephone_number": "908-766-3943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "2966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bernardsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.