DR. STEPHEN GEORGE DEROSA JR. DC, ATC
NPI 1174153795
Chiropractor in Madison, NJ

Active since January 23, 2020Accepts Medicare Assignment
345 MAIN ST, MADISON, NJ 07940(973) 377-6700 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephen George Derosa Jr. Dc, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHEN GEORGE DEROSA JR. DC, ATC (NPI 1174153795) is an individual chiropractor in Madison, New Jersey, licensed in New Jersey (38MC00768400) and active in the NPI registry since January 2020. He is a graduate of Other (2019).

NPPES Registry Identity

NPI1174153795
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. STEPHEN GEORGE DEROSA JR.Credential: DC, ATC
Location Address345 MAIN STMadison, NJ 07940-2339
Mailing Address19 Lathrop Ave Fl 2Madison, NJ 07940-2412 · (973) 303-9322
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 23, 2020
NPI 1174153795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NJ · 38MC00768400
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
345 MAIN ST, Madison, NJ 07940

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephen George Derosa Jr. Dc, Atc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436585387
PECOS Enrollment IDI20200212002049

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
345 MAIN ST
MADISON, NJ 07940
Nurse Practitioner (Adult Health)
345 MAIN ST
MADISON, NJ 07940
Physical Therapist
345 MAIN ST
MADISON, NJ 07940
Physical Therapist
345 MAIN ST
MADISON, NJ 07940
Chiropractor
345 MAIN ST
MADISON, NJ 07940
Nurse Practitioner (Family)
345 MAIN ST
MADISON, NJ 07940
Nurse Practitioner
345 MAIN ST
MADISON, NJ 07940
Chiropractor
345 MAIN ST
MADISON, NJ 07940

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Derosa's NPI number?

The NPI number for Stephen Derosa is 1174153795. It was assigned to this individual provider in the NPPES registry on January 23, 2020.

Where is Stephen Derosa located?

Stephen Derosa practices at 345 Main St, Madison, NJ 07940. The listed phone number is (973) 377-6700.

What is Stephen Derosa's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Stephen Derosa enrolled in Medicare?

Yes. Stephen Derosa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stephen Derosa was last updated on January 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.