Individual provider Active NPI

Michael Riley McCue Jr., D.C

  • Chiropractor
  • Lawrenceville, NJ
National Provider Identifier
1861448250
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00620500 Issued in NJ
Practice address
136 Lawrenceville Penning Rd
Lawrenceville, NJ 08648-1413
Phone
(609) 912-0062
Fax
(609) 912-0064
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00620500 NJ Primary

Addresses

Primary practice location

136 Lawrenceville Penning Rd
Lawrenceville, NJ 08648-1413

Mailing address

136 Lawrenceville Penning Rd
Lawrenceville, NJ 08648-1413
Phone (609) 912-0062

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070206000353 NJ Practitioner - Chiropractic 5092717991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

45 N Main St
Suite D
Lambertville, NJ 08530-1734
Phone (609) 397-4390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McCue Chiropractic Centers LLC Chiropractor CurrentSince Jul 25, 2017 Accepting new patients
Carleen a. Thum D.C. P.C. Chiropractor CurrentSince Jul 25, 2017 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861448250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 LAWRENCEVILLE PENNING RD",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481413",
            "telephone_number": "609-912-0062",
            "fax_number": "609-912-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 LAWRENCEVILLE PENNING RD",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481413",
            "telephone_number": "609-912-0062",
            "fax_number": "609-912-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUE",
        "first_name": "MICHAEL",
        "middle_name": "RILEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00620500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, 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.

Verify at the official NPI Registry.