Individual provider Active NPI

Dominique Bariso, D.C., L.AC.

  • Chiropractor
  • Jersey City, NJ
National Provider Identifier
1043670367
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00733900 Issued in NJ
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

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
38MC00733900NJMDChiropractor
25MZ00118900NJMDAcupuncturist
012834NYMDPhysical 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.

Verify at the official NPI Registry.