Organization Active NPI

West Essex Chiropractic

  • Chiropractor
  • Fairfield, NJ
National Provider Identifier
1114471315
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00712900 Issued in NJ
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.