Organization Active NPI

Chiropractic Family & Sports Injury Center

Doing business as Alfonse de Maria

  • Chiropractor
  • Franklin Lakes, NJ
National Provider Identifier
1093989386
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC04071 Issued in NJ
Legal business name
CHIROPRACTIC FAMILY & SPORTS INJURY CENTER
Doing business as
Alfonse de Maria
Practice address
807 Franklin Ave
Franklin Lakes, NJ 07481
Phone
(201) 891-5599
NPI assigned
Apr 17, 2008
Last updated
Apr 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Dr. Alfonse Anthony De Maris, DC
Title
Proprietor
Phone
(201) 891-5599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X MC04071 NJ Primary

Addresses

Primary practice location

807 Franklin Ave
Franklin Lakes, NJ 07481

Mailing address

807 Franklin Ave
Franklin Lakes, NJ 07481
Phone (201) 891-5599

Other names 1

  • ALFONSE DE MARIA Doing business as

National Provider Directory

National Provider Directory

Locations

807 Franklin Ave
Franklin Lks, NJ 07417
Phone (201) 891-5599

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1093989386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 FRANKLIN AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "07481",
            "telephone_number": "201-891-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 FRANKLIN AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "07481",
            "telephone_number": "201-891-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC FAMILY & SPORTS INJURY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "DE MARIS",
        "authorized_official_first_name": "ALFONSE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "201-891-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALFONSE DE MARIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.