Active NPI
Andrew Maciak, DC
- Chiropractor
- Clifton, NJ
National Provider Identifier
1043271109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00288800
- Practice address
- 1081 Paulison Ave
Clifton, NJ 07011 - Phone
- (973) 253-0503
- Fax
- (973) 253-1165
- NPI assigned
- Mar 29, 2006
- 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 | 38MC00288800 | NJ | Primary |
Addresses
Primary practice location
1081 Paulison Ave
Clifton, NJ 07011
Mailing address
1081 Paulison Ave
Clifton, NJ 07011
Phone (973) 253-0503
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1043271109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1081 PAULISON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "07011",
"telephone_number": "973-253-0503",
"fax_number": "973-253-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1081 PAULISON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "07011",
"telephone_number": "973-253-0503",
"fax_number": "973-253-1165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACIAK",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00288800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.