DR. DARYL SUSAN MITRUSKA D.C. NPI 1104870310

NPI Information

  • NPI: 1104870310
  • Provider Name: DR. DARYL SUSAN MITRUSKA, D.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 453 AMBOY AVE
    WOODBRIDGE, NJ
    ZIP 07095
  • Phone: (732) 324-4300

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NPI Details

DR. Daryl Susan Mitruska, D.C. is a chiropractor in Woodbridge, NJ with 35 years of experience. The provider is 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. DR. Daryl Susan Mitruska, D.C. NPI is 1104870310. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LIFE CHIROPRACTIC COLLEGE - WEST
Graduation Year:1991

The provider's business location address is:

453 AMBOY AVE
WOODBRIDGE, NJ
ZIP 07095-960
Phone: (732) 324-4300
Fax: (732) 324-8211

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 3-4 spinal regions (HCPCS:98941)

The enumeration date for this NPI number is 5/20/2006 and was last updated on 2/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorMC04382NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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