Active NPI
West Essex Chiropractic
- Chiropractor
- Fairfield, NJ
National Provider Identifier
1114471315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00712900
- Legal business name
- WEST ESSEX CHIROPRACTIC
- Practice address
- 54 Carlos Dr
Fairfield, NJ 07004-2117 - Phone
- (646) 275-7465
- NPI assigned
- Aug 5, 2016
- Last updated
- Dec 7, 2016
- 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. Michael Rullo
- Title
- Chiropractic Physician
- Phone
- (646) 275-7465
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00712900 | NJ | Primary |
Addresses
Primary practice location
54 Carlos Dr
Fairfield, NJ 07004-2117
Mailing address
PO Box 10940
Fairfield, NJ 07004-0940
Phone (646) 275-7465
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481068800000",
"number": "1114471315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10940",
"city": "FAIRFIELD",
"state": "NJ",
"postal_code": "070040940",
"telephone_number": "646-275-7465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 CARLOS DR",
"city": "FAIRFIELD",
"state": "NJ",
"postal_code": "070042117",
"telephone_number": "646-275-7465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST ESSEX CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-05",
"last_updated": "2016-12-07",
"status": "A",
"authorized_official_last_name": "RULLO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
"authorized_official_telephone_number": "646-275-7465",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00712900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.