Active NPI
Robert W Tarantino, D.C.
- Chiropractor
- Lyndhurst, NJ
National Provider Identifier
1013991215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MCO1224
- Practice address
- 518 Ridge Rd
Lyndhurst, NJ 07071-2733 - Phone
- (201) 933-3125
- Fax
- (201) 933-5938
- NPI assigned
- Dec 1, 2005
- Last updated
- Sep 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MCO1224 | NJ | Primary |
Addresses
Primary practice location
518 Ridge Rd
Lyndhurst, NJ 07071-2733
Mailing address
518 Ridge Rd
Lyndhurst, NJ 07071-2733
Phone (201) 933-3125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MCO1224 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1013991215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 RIDGE RD",
"city": "LYNDHURST",
"state": "NJ",
"postal_code": "070712733",
"telephone_number": "201-933-3125",
"fax_number": "201-933-5938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 RIDGE RD",
"city": "LYNDHURST",
"state": "NJ",
"postal_code": "070712733",
"telephone_number": "201-933-3125",
"fax_number": "201-933-5938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARANTINO",
"first_name": "ROBERT",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MCO1224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.