Individual provider Active NPI

Peter Ferraro, D. C

  • Chiropractor
  • Saddle Brook, NJ
National Provider Identifier
1114907268
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC05056 Issued in NJ
Practice address
230 South Midland Ave
Saddle Brook, NJ 07663-6411
Phone
(973) 478-2212
Fax
(973) 478-2123
NPI assigned
Jan 17, 2006
Last updated
Apr 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC05056 NJ Primary

Addresses

Primary practice location

230 South Midland Ave
Saddle Brook, NJ 07663-6411

Mailing address

230 South Midland Ave
Saddle Brook, NJ 07663-6411
Phone (973) 478-2212

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100806000378 NJ Practitioner - Chiropractic 6800785601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ferraro Spine and Rehabilitation PCGroup PAC ID 4082503875, 9 clinicians

Practice addresses (Care Compare)

230 Midland Ave
Saddle Brook, NJ 07663-6404
Phone (973) 478-2212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC05056NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ferraro Spine & Rehabilitation, PC Chiropractor CurrentSince Jan 1, 2001 Accepting new patients
VG Physical Therapy CurrentSince Sep 12, 2021 Accepting new patients

Locations

224 Midland Ave
Saddle Brook, NJ 07663
Phone (973) 478-2122

230 Midland Ave
Saddle Brook, NJ 07663
Phone (973) 478-2122

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1114907268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SOUTH MIDLAND AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076636411",
            "telephone_number": "973-478-2212",
            "fax_number": "973-478-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SOUTH MIDLAND AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076636411",
            "telephone_number": "973-478-2212",
            "fax_number": "973-478-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARO",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D. C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC05056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.