Active NPI
Dagostino Chiropractic & Associates, PC
- Sports Physician Chiropractor
- Garfield, NJ
National Provider Identifier
1124195425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 38MC00541800
- Legal business name
- DAGOSTINO CHIROPRACTIC & ASSOCIATES, PC
- Practice address
- 96 Manner Ave
Garfield, NJ 07026-1418 - Phone
- (973) 772-0099
- Fax
- (973) 772-0099
- NPI assigned
- Nov 29, 2006
- Last updated
- Jun 8, 2010
- 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. Dominick Anthony Dagostino Jr., D.C.
- Title
- Doctor
- Phone
- (973) 772-0099
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 38MC00541800 | NJ | Primary |
Addresses
Primary practice location
96 Manner Ave
Garfield, NJ 07026-1418
Mailing address
96 Manner Ave
Garfield, NJ 07026-1418
Phone (973) 772-0099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7971907 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
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.
-
- Sports Physician Chiropractor
- Garfield, NJ
- NPI 1972670271
-
- Chiropractor
- Clifton, NJ
- NPI 1881852143
-
- Sports Medicine (Internal Medicine) Physician
- Franklin Lakes, NJ
- NPI 1851384283
-
- Massage Therapist
- Garfield, NJ
- NPI 1306401021
-
- Chiropractor
- Massapequa, NY
- NPI 1538224340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275955200000",
"number": "1124195425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 MANNER AVE",
"city": "GARFIELD",
"state": "NJ",
"postal_code": "070261418",
"telephone_number": "973-772-0099",
"fax_number": "973-772-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 MANNER AVE",
"city": "GARFIELD",
"state": "NJ",
"postal_code": "070261418",
"telephone_number": "973-772-0099",
"fax_number": "973-772-0099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAGOSTINO CHIROPRACTIC & ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-29",
"last_updated": "2010-06-08",
"status": "A",
"authorized_official_last_name": "DAGOSTINO",
"authorized_official_first_name": "DOMINICK",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "973-772-0099",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NJ",
"license": "38MC00541800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7971907",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.