Individual provider Active NPI

Timothy R Santo, D.C.

  • Chiropractor
  • Ridgewood, NJ
National Provider Identifier
1053448506
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC 00280500 Issued in NJ
Practice address
38 Oak St
Suite 1
Ridgewood, NJ 07450-3875
Phone
(201) 444-1215
NPI assigned
Feb 28, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC 00280500 NJ Primary

Addresses

Primary practice location

38 Oak St
Suite 1
Ridgewood, NJ 07450-3875

Mailing address

38 Oak St
Suite 1
Ridgewood, NJ 07450-3875
Phone (201) 444-1215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120123000262 NJ Practitioner - Chiropractic 8527235183 Practice locations: Ho Ho Kus, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10 Sycamore Ave
Suite 3
Ho Ho Kus, NJ 07423-1588
Phone (201) 444-1215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC 00280500NJMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053448506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 OAK ST",
            "address_2": "SUITE 1",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503875",
            "telephone_number": "201-444-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 OAK ST",
            "address_2": "SUITE 1",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503875",
            "telephone_number": "201-444-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTO",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC 00280500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.