Organization Active NPI

James a. Dimattia, D.C., P.C.

  • Chiropractor
  • Lawrenceville, NJ
National Provider Identifier
1972515005
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00587600 Issued in NJ
Legal business name
JAMES A. DIMATTIA, D.C., P.C.
Practice address
1200 Lawrenceville Rd
2-B
Lawrenceville, NJ 08648-3551
Phone
(609) 883-9262
Fax
(609) 883-9263
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James A. Dimattia, D.C.NPI 1245262807
Title
President
Phone
(609) 883-9262

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00587600 NJ Primary

Addresses

Primary practice location

1200 Lawrenceville Rd
2-B
Lawrenceville, NJ 08648-3551

Mailing address

1200 Lawrenceville Rd
2-B
Lawrenceville, NJ 08648-3551
Phone (609) 883-9262

Other identifiers 3

IdentifierTypeStateIssuer
2144439000OtherNJIND. BLUE CROSS HMO
3309992OtherNJAETNA
P3308235OtherNJOXFORD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040803001431 NJ Part B Supplier - Clinic/Group Practice 8729059704 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrenceville, NJ

National Provider Directory

National Provider Directory

Locations

11 Gordon Ave
Ste 1
Lawrenceville, NJ 08648
Phone (609) 896-2737

1200 Lawrenceville Rd
Ste 2B
Lawrenceville, NJ 08648
Phone (609) 883-9262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972515005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 LAWRENCEVILLE RD",
            "address_2": "2-B",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086483551",
            "telephone_number": "609-883-9262",
            "fax_number": "609-883-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LAWRENCEVILLE RD",
            "address_2": "2-B",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086483551",
            "telephone_number": "609-883-9262",
            "fax_number": "609-883-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A. DIMATTIA, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIMATTIA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-883-9262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00587600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND. BLUE CROSS HMO",
            "identifier": "2144439000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3309992",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3308235",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.