Active NPI
Stephen John Matlaga, D.C.
- Chiropractor
- Burlington, NJ
National Provider Identifier
1912005653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00120400
- Practice address
- 1603 Oxmead Rd
Burlington, NJ 08016-4215 - Phone
- (609) 386-6100
- Fax
- (609) 386-2838
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00120400 | NJ | Primary |
Addresses
Primary practice location
1603 Oxmead Rd
Burlington, NJ 08016-4215
Mailing address
1603 Oxmead Rd
Burlington, NJ 08016-4215
Phone (609) 386-6100
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006073 | Other | NJ | ASH |
| P415120 | Other | NJ | OXFORD |
| 026599 | Other | NJ | NJ BLUE CROSS BLUE SHIELD |
| 34133 | Other | NJ | AETNA |
| NJ01204 | Other | NJ | LANDMARK |
| 5945317003 | Other | NJ | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040817000167 | NJ | Practitioner - Chiropractic | 7810960044 | Practice locations: Burlington, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Columbia Institute Chiropractic, 1966
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1603 Oxmead Rd
Burlington, NJ 08016-4215
Phone (609) 386-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00120400 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Hill Chiropractic LLC | Chiropractor | Past | Accepting new patients |
| Green Hill Chiropractic | Chiropractor | Past | 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.
-
- Chiropractor
- Burlington, NJ
- NPI 1437274842
-
- Chiropractor
- Burlington, NJ
- NPI 1417648700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912005653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603 OXMEAD RD",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "080164215",
"telephone_number": "609-386-6100",
"fax_number": "609-386-2838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1603 OXMEAD RD",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "080164215",
"telephone_number": "609-386-6100",
"fax_number": "609-386-2838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATLAGA",
"first_name": "STEPHEN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00120400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASH",
"identifier": "1006073",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P415120",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ BLUE CROSS BLUE SHIELD",
"identifier": "026599",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "34133",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LANDMARK",
"identifier": "NJ01204",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5945317003",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, 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.