Individual provider Active NPI

Vincent Taffuri, DC

  • Chiropractor
  • Fair Lawn, NJ
National Provider Identifier
1114972460
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00679600 Issued in NJ
Practice address
23-00 Route 208 South
Suite 2-6
Fair Lawn, NJ 07410-2331
Phone
(201) 773-0909
Fax
(201) 625-6505
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00679600 NJ Primary

Addresses

Primary practice location

23-00 Route 208 South
Suite 2-6
Fair Lawn, NJ 07410-2331

Mailing address

23-00 Route 208 South
Suite 2-6
Fair Lawn, NJ 07410-2331
Phone (201) 773-0909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110812000450 NJ Practitioner - Chiropractic 2860597432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

75 Emeline Dr
Hawthorne, NJ 07506-3000
Phone (201) 773-0909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003022NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fair Lawn Spine & Injury Center, LLC CurrentSince Nov 1, 2010 Accepting new patients
Bloomfield Spine & Rehabilitation Current Accepting new patients
Nanuet Medical Services, P.C. Past Accepting new patients

Locations

23-00 Route 208
Ste 2-6
Fair Lawn, NJ 07410
Phone (201) 773-0909

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1114972460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23-00 ROUTE 208 SOUTH",
            "address_2": "SUITE 2-6",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102331",
            "telephone_number": "201-773-0909",
            "fax_number": "201-625-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23-00 ROUTE 208 SOUTH",
            "address_2": "SUITE 2-6",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102331",
            "telephone_number": "201-773-0909",
            "fax_number": "201-625-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFFURI",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00679600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.