NPIMap

Organization Active NPI

Chiropractic Rehabiliation Center of Verona, P.C.

  • Chiropractor
  • Verona, NJ
National Provider Identifier
1003042565
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00430500 Issued in NJ
Legal business name
CHIROPRACTIC REHABILIATION CENTER OF VERONA, P.C.
Practice address
155 Pompton Ave
Suite 103
Verona, NJ 07044-2942
Phone
(973) 444-3081
NPI assigned
Jun 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark D Fano, DCNPI 1497981955
Title
Owner
Phone
(973) 444-3081

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00430500 NJ Primary

Addresses

Primary practice location

155 Pompton Ave
Suite 103
Verona, NJ 07044-2942

Mailing address

155 Pompton Ave
Suite 103
Verona, NJ 07044-2942
Phone (973) 444-3081

National Provider Directory

National Provider Directory

Locations

155 Pompton Ave
Ste 103
Verona, NJ 07044
Phone (973) 433-7204

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1003042565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 POMPTON AVE",
            "address_2": "SUITE 103",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442942",
            "telephone_number": "973-444-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 POMPTON AVE",
            "address_2": "SUITE 103",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442942",
            "telephone_number": "973-444-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC REHABILIATION CENTER OF VERONA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "FANO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-444-3081",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00430500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.