Individual provider Active NPI

Miguel Perez

  • Chiropractor
  • Clark, NJ
National Provider Identifier
1902289507
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00728000 Issued in NJ
Practice address
225 Terminal Ave
Clark, NJ 07066-1318
Phone
(732) 499-0444
Fax
(732) 499-0447
NPI assigned
Jul 1, 2015
Last updated
Jul 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00728000 NJ Primary

Addresses

Primary practice location

225 Terminal Ave
Clark, NJ 07066-1318

Mailing address

225 Terminal Ave
Clark, NJ 07066-1318

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200610000856 NJ Practitioner - Chiropractic 5395166797 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1011 US Hwy 22
Suite 203
Bridgewater, NJ 08807-2979

3150 US Hwy 22
Branchburg, NJ 08876-3595
Phone (908) 746-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00728000NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Medical Group of Hillsborough LLC CurrentSince Jun 26, 2025 Accepting new patients
Performance Medical of Watchung LLC Chiropractor CurrentSince Jun 1, 2020 Accepting new patients
Performance Medical Group of Somerset CurrentSince Jan 1, 2021 Accepting new patients
Maximum Health & Wellness Clark, LLC Chiropractor Past Accepting new patients

Locations

1011 US Highway 22
Bridgewater, NJ 08807

1011 US Highway 22
Ste 203
Bridgewater, NJ 08807
Phone 9087562424135

105 Raider Blvd
Ste 201
Hillsborough, NJ 08844

454 Elizabeth Ave
Somerset, NJ 08873
Phone (732) 860-5757

10 Johnston Dr
Watchung, NJ 07069

459 Watchung Ave
Watchung, NJ 07069
Phone (908) 274-0988

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1902289507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 TERMINAL AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 TERMINAL AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661318",
            "telephone_number": "732-499-0444",
            "fax_number": "732-499-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MIGUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00728000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.