Individual provider Active NPI

Matthew White, D.C.

  • Chiropractor
  • Rutherford, NJ
National Provider Identifier
1972673044
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC 05993 Issued in NJ
Practice address
22 Sylvan Street
Suite 200
Rutherford, NJ 07070-2309
Phone
(201) 508-1996
Fax
(201) 728-9320
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC 05993 NJ Primary

Addresses

Primary practice location

22 Sylvan Street
Suite 200
Rutherford, NJ 07070-2309

Mailing address

22 Sylvan St
Suite 200
Rutherford, NJ 07070-2087
Phone (201) 508-1996

Other identifiers 1

IdentifierTypeStateIssuer
P2706450OtherNJOXFORD PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120111000565 NJ Practitioner - Chiropractic 1355518580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22 Sylvan St
Suite 200
Rutherford, NJ 07070-2087
Phone (201) 508-1996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC 05993NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alumni Chiropractic Inc. Chiropractor CurrentSince Oct 5, 2013 Accepting new patients

Locations

22 Sylvan St
Ste 200
Rutherford, NJ 07070
Phone (201) 508-1996

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1972673044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SYLVAN ST",
            "address_2": "SUITE 200",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702087",
            "telephone_number": "201-508-1996",
            "fax_number": "201-728-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SYLVAN STREET",
            "address_2": "SUITE 200",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702309",
            "telephone_number": "201-508-1996",
            "fax_number": "201-728-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC 05993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER NUMBER",
            "identifier": "P2706450",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.