Active NPI
Genesis Family Chiropractic, P.C.
- Rehabilitation Chiropractor
- Cliffside Park, NJ
National Provider Identifier
1083829154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 38MC00615800
- Legal business name
- GENESIS FAMILY CHIROPRACTIC, P.C.
- Practice address
- 596 Anderson Ave
Suite 104
Cliffside Park, NJ 07010-1831 - Phone
- (201) 941-8008
- Fax
- (201) 941-3880
- NPI assigned
- May 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Feodor A Sakatch, D.C.
- Title
- President
- Phone
- (201) 941-8008
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 38MC00615800 | NJ | Primary |
| Physical Therapist | 225100000X | 40QA01156300 | NJ |
Addresses
Primary practice location
596 Anderson Ave
Suite 104
Cliffside Park, NJ 07010-1831
Mailing address
596 Anderson Ave
Suite 104
Cliffside Park, NJ 07010-1831
Phone (201) 941-8008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
820 Broadway
Bayonne, NJ 07002
Phone (201) 437-7070
108 Woodward Rd
Manalapan, NJ 07726
Phone (201) 787-7142
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Cliffside Park, NJ
- NPI 1912086398
-
- Physical Therapist
- Englewood, NJ
- NPI 1871641308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211846400000",
"number": "1083829154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "596 ANDERSON AVE",
"address_2": "SUITE 104",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070101831",
"telephone_number": "201-941-8008",
"fax_number": "201-941-3880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "596 ANDERSON AVE",
"address_2": "SUITE 104",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070101831",
"telephone_number": "201-941-8008",
"fax_number": "201-941-3880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS FAMILY CHIROPRACTIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-11",
"last_updated": "2008-05-27",
"status": "A",
"authorized_official_last_name": "SAKATCH",
"authorized_official_first_name": "FEODOR",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-941-8008",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "NJ",
"license": "38MC00615800",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01156300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cliffside Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.