Joseph Charles De Fazio, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC001673 Issued in NJ

Practice address

549 Summit Ave
Jersey City, NJ 07306-2701

Phone

(201) 533-1004

Fax

(201) 533-1008

NPI assigned

May 31, 2006

Last updated

Mar 3, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pavonia Spine & Rehabilitation,PC

  dba Barteck Wellness Center

  • Chiropractor
  • Hoboken, NJ
  • NPI 1124033212
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1144277336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 E PARK PL",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702314",
            "telephone_number": "201-460-1643",
            "fax_number": "201-438-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 SUMMIT AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062701",
            "telephone_number": "201-533-1004",
            "fax_number": "201-533-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE FAZIO",
        "first_name": "JOSEPH",
        "middle_name": "CHARLES",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC001673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew B. Davis, M.D
• Marize Dawood
• Marie Day
• DB Dental Professional Corporation
• Donna-Vivian V De Belen, C.R.N.A.
• Rosemary De Gennaro, MA, LPC
• Hector De Jesus
• Steven De Kenipp, PTA
• Flavia A. De la Cruz, M.D.
• Anna Valeria De la Pena Duenas, M.D.

• Chiropractor in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.