Antonio Francesco Duardo, DC

Individual provider Active NPI Chiropractor · Randolph, NJ

NPI 1013499540 · NPPES record last updated Dec 17, 2025

Key facts

NPI
1013499540
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
38MC00813100 (NJ)
Practice address
765 Route 10 Ste 204
Randolph, NJ 07869-1925
Phone
(201) 956-7614
NPI assigned
Aug 31, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240212002921 WI Practitioner - Chiropractic 2365885829 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
38MC00813100NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Appleton Wellness Way LLC Chiropractor Current
since Jan 24, 2024
Accepting new patients
King'S College Past Accepting new patients

Locations

2021 S Oneida St
Appleton, WI 54915
Phone (920) 733-3371

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00813100 NJ Yes
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

765 Route 10 Ste 204
Randolph, NJ 07869-1925

Mailing address

765 Route 10 Ste 204
Randolph, NJ 07869-1925
Phone (201) 956-7614

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 17, 2025.

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1013499540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 ROUTE 10 STE 204",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078691925",
            "telephone_number": "201-956-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 ROUTE 10 STE 204",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078691925",
            "telephone_number": "201-956-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUARDO",
        "first_name": "ANTONIO",
        "middle_name": "FRANCESCO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-31",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00813100",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

All providers in Randolph, NJ · Chiropractor in New Jersey

Sources for this page

Verify at the official NPI Registry.