Active NPI
Dominique Bariso, D.C., L.AC.
- Chiropractor
- Jersey City, NJ
National Provider Identifier
1043670367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00733900
- Practice address
- 944 Westside Ave
Jersey City, NJ 07306-6515 - Phone
- (201) 432-3693
- NPI assigned
- Feb 29, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00733900 | NJ | Primary |
| Acupuncturist | 171100000X | 25MZ00118900 | NJ | |
| Chiropractor | 111N00000X | 012834 | NY | |
| Acupuncturist | 171100000X | 005784 | NY |
Addresses
Primary practice location
944 Westside Ave
Jersey City, NJ 07306-6515
Mailing address
944 Westside Ave
Jersey City, NJ 07306-6515
Phone (201) 432-3693
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 |
|---|---|---|---|
| 38MC00733900 | NJ | MD | Chiropractor |
| 25MZ00118900 | NJ | MD | Acupuncturist |
| 012834 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468540800000",
"number": "1043670367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "944 WESTSIDE AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073066515",
"telephone_number": "201-432-3693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "944 WESTSIDE AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073066515",
"telephone_number": "201-432-3693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARISO",
"first_name": "DOMINIQUE",
"credential": "D.C., L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-29",
"last_updated": "2016-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00733900",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00118900",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "012834",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "005784",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.