MEDICARE: MIKAELA MARTIN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	38MC00819200	NJ

General Provider Information

NPI Number	:	1528902038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIKAELA MARTIN DC

Provider Business Mailing Address
First Line	:	50 HAWKS WAY UNIT 22301
Second Line	:
City	:	MANCHESTER
State	:	NJ
Zip	:	08759-5073
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2621 BRIDGE AVE
Second Line	:
City	:	POINT PLEASANT BORO
State	:	NJ
Zip	:	08742-4264
Country	:	US
Telephone Number	:	732-295-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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Directions to “ MIKAELA MARTIN DC” Practice Location

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