Organization Active NPI

Chiropractors on the Move, LLP

Doing business as Deitch Family Chiropractic

  • Chiropractor
  • Princeton Junction, NJ
National Provider Identifier
1982822524
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC 05659 Issued in NJ
Legal business name
CHIROPRACTORS ON THE MOVE, LLP
Doing business as
Deitch Family Chiropractic
Practice address
50 Hightstown Rd
Suite D
Princeton Junction, NJ 08550-1107
Phone
(609) 897-1200
Fax
(609) 897-0900
NPI assigned
Apr 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Mark Deitch, DCNPI 1922173863
Title
President
Phone
(609) 897-1200

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
Chiropractor 111N00000X MC 05659 NJ Primary

Addresses

Primary practice location

50 Hightstown Rd
Suite D
Princeton Junction, NJ 08550-1107

Mailing address

50 Hightstown Rd
Suite D
Princeton Junction, NJ 08550-1107
Phone (609) 897-1200

Other identifiers 5

IdentifierTypeStateIssuer
MC 05659OtherNJNJ LICENSE
X009747OtherNYNY LICENSE
5043OtherGAGA LICENSE
0027634MedicaidNJ
CH6617OtherFLFL LICENSE

Other names 1

  • Deitch Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120425000442 NJ Part B Supplier - Clinic/Group Practice 4587826284 Receives reassigned benefits from 1 practitioner
Practice locations: Princeton Junction, NJ

National Provider Directory

National Provider Directory

Locations

50 Princeton Hightstown Rd
Ste D
Princeton Junction, NJ 08550
Phone (609) 897-0009

50 Princeton Hightstown Rd
West Windsor, NJ 08550
Phone (609) 452-9794

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982822524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HIGHTSTOWN RD",
            "address_2": "SUITE D",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501107",
            "telephone_number": "609-897-1200",
            "fax_number": "609-897-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HIGHTSTOWN RD",
            "address_2": "SUITE D",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501107",
            "telephone_number": "609-897-1200",
            "fax_number": "609-897-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTORS ON THE MOVE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEITCH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-897-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC 05659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "MC 05659",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "X009747",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSE",
            "identifier": "5043",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0027634",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "CH6617",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deitch Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton Junction, 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.