Provider Demographics
NPI:1245262807
Name:DIMATTIA, JAMES A (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:DIMATTIA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 LAWRENCEVILLE RD
Mailing Address - Street 2:SUITE 2-B
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-3551
Mailing Address - Country:US
Mailing Address - Phone:609-883-9262
Mailing Address - Fax:609-883-9263
Practice Address - Street 1:1200 LAWRENCEVILLE RD
Practice Address - Street 2:SUITE 2-B
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-3551
Practice Address - Country:US
Practice Address - Phone:609-883-9262
Practice Address - Fax:609-883-9263
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2019-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010385111N00000X
PADC8615111N00000X
HIDC899111N00000X
FLCH11667111N00000X
NJ38MC00587600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223827990OtherCIGNA
NJ223827990OtherBLUE CROSS BLUE SHIELD
NJ2071261000OtherHMO IND. BLUE CROSS
NJP3308235OtherOXFORD
NJ001379554OtherPPO IND. BLUE CROSS
NJ223827990OtherUNITED HEALTHCARE
NJ3309992OtherAETNA