Alfonse A De Maria, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC04071 Issued in NJ

Practice address

807 Franklin Ave
Franklin Lakes, NJ 07417-1372

Phone

(201) 891-5599

Fax

(201) 891-8404

NPI assigned

Dec 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Practitioners 3

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

• Sharon George, PT

  • Physical Therapist
  • Upper Saddle River, NJ
  • NPI 1346373420
  Medicare reassignment
• Catherine M Jobson, PT, MS

  • Physical Therapist
  • Wyckoff, NJ
  • NPI 1881782944
  Medicare reassignment
• Mary Norey-Miceli, DPT

  • Physical Therapist
  • Hackensack, NJ
  • NPI 1356727937
  Medicare reassignment

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.

• Advanced Sports PT One LLC

  • Physical Therapist
  • Upper Saddle River, NJ
  • NPI 1942994207
  NPD (past)
• Chiropractic Family & Sports Injury Center

  • Chiropractor
  • Franklin Lakes, NJ
  • NPI 1093989386
  NPD (past)

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1023093358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BIRCHWOOD CT",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581905",
            "telephone_number": "201-236-1864",
            "fax_number": "201-891-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 FRANKLIN AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171372",
            "telephone_number": "201-891-5599",
            "fax_number": "201-891-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MARIA",
        "first_name": "ALFONSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5301807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Catherine Conmy, OTR
• Tracy J Corbisiero, M.S.W.
• Debra Ann Couturier-Fagan, PHD
• Justina Diann Cutola
• David B. Sutter, M.D., P.a.
• Courtney L Deangelis, PSY.D.
• David Degenhardt, MES
• Joseph F Delprete, D.M.D.
• Kate Mariel Diana, DMD
• Basil G Dibsie, MD

• Chiropractor in Franklin Lakes, NJ
• Providers in Franklin Lakes, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.