Advanced Diagnostic Testing, PC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

38MC00530500 Issued in NJ

Legal business name

ADVANCED DIAGNOSTIC TESTING, PC

Practice address

575 Route 28
Ste 207
Raritan, NJ 08869-1354

Phone

(908) 252-9900

Fax

(908) 252-9901

NPI assigned

May 7, 2008

Last updated

May 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brendon A Beatrice, D.C.NPI 1801800073

Title

President

Phone

(908) 252-9900

Specialties & licenses 1

Addresses

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.

• Brendon A Beatrice, D.C.

  • Chiropractor
  • Raritan, NJ
  • NPI 1801800073
  Authorized official Same address or phone

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1922274091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ROUTE 28",
            "address_2": "STE 207",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691354",
            "telephone_number": "908-252-9900",
            "fax_number": "908-252-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 ROUTE 28",
            "address_2": "STE 207",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691354",
            "telephone_number": "908-252-9900",
            "fax_number": "908-252-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIAGNOSTIC TESTING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "BEATRICE",
        "authorized_official_first_name": "BRENDON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-252-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "NJ",
            "license": "38MC00530500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.