Raymond Joseph De Felice Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MCO5080 Issued in NJ

Practice address

14 Wanaque Ave
Pompton Lakes, NJ 07442-2062

Phone

(973) 835-6669

Fax

(973) 835-4355

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By 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

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• North Jersey Chiropractic Rehabilitation Center, LLC

  • Chiropractor
  • Pompton Lakes, NJ
  • NPI 1275824278
  Medicare reassignment NPD Authorized official
• Alternative Chiropractic

  • Occupational Health Chiropractor
  • Clifton, NJ
  • NPI 1750451431
  NPD (past)
• Tu Rehab LLC

  dba TU Rehab of Oradell

  • Physical Therapy Clinic/Center
  • Oradell, NJ
  • NPI 1235576679
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144307364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WANAQUE AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422062",
            "telephone_number": "973-835-6669",
            "fax_number": "973-835-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WANAQUE AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422062",
            "telephone_number": "973-835-6669",
            "fax_number": "973-835-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE FELICE",
        "first_name": "RAYMOND",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MCO5080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosanna M Conti
• Raymond Scott Corbo Jr., LMFT
• Christina Corson
• Mynda D'Andrea
• Kathleen Danaher, M A, L P C
• Melinda Debell
• Susan Jane Debell, LPC, RN
• Karen Marie Decker, M.ED., NCC
• Melanie Defazio, LPC
• Mary Alice Demarco, M.ED.

• Chiropractor in Pompton Lakes, NJ
• Providers in Pompton Lakes, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.