Frederick Pine, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC01016 Issued in NJ

Practice address

824 Mountain Avenue
Springfield, NJ 07081-3438

Phone

(973) 376-7600

Fax

(973) 376-4606

NPI assigned

Oct 3, 2006

Last updated

Nov 17, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1942394168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 MOUNTAIN AVENUE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813438",
            "telephone_number": "973-376-7600",
            "fax_number": "973-376-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 MOUNTAIN AVENUE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813438",
            "telephone_number": "973-376-7600",
            "fax_number": "973-376-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINE",
        "first_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC01016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Perera, LCSW
• Grace Annmarie Petinakis, MS, OTR/L
• Michael Roman Petronko
• Stephanie Pierre-Pierre, PA
• David Gary Pilchman, PH.D.
• Michael Pine, D.C.
• Jose J. Pinto, D.O.
• Erica Pirak, OTR/L
• Roger Wallace Plantikow, D.MIN.
• David Plotkin, DPM

• Chiropractor in Springfield, NJ
• Providers in Springfield, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.