Active NPI
Deluca Family Chiropractic PA
- Sports Physician Chiropractor
- Old Bridge, NJ
National Provider Identifier
1861780892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- Legal business name
- DELUCA FAMILY CHIROPRACTIC PA
- Practice address
- 2309 Highway 516
Old Bridge, NJ 08857-1865 - Phone
- (732) 679-2414
- Fax
- (732) 679-1151
- NPI assigned
- Jul 12, 2011
- Last updated
- Jul 12, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony John Deluca, D.C.
- Title
- Owner/Chiropractor
- Phone
- (732) 679-2414
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | Primary |
Addresses
Primary practice location
2309 Highway 516
Old Bridge, NJ 08857-1865
Mailing address
PO Box 687
Old Bridge, NJ 08857-0687
Phone (732) 679-2414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2309 Highway 516
Old Bridge, NJ 08857
Phone (732) 679-2414
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Sports Physician Chiropractor
- Old Bridge, NJ
- NPI 1417001199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310428800000",
"number": "1861780892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 687",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088570687",
"telephone_number": "732-679-2414",
"fax_number": "732-679-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2309 HIGHWAY 516",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088571865",
"telephone_number": "732-679-2414",
"fax_number": "732-679-1151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELUCA FAMILY CHIROPRACTIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-12",
"last_updated": "2011-07-12",
"status": "A",
"authorized_official_last_name": "DELUCA",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
"authorized_official_telephone_number": "732-679-2414",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.