Individual provider Active NPI

Michael Santino Sapienza, D.C.

  • Rehabilitation Chiropractor
  • Fairfield, NJ
National Provider Identifier
1154590164
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
38MC00640200 Issued in NJ
Practice address
333A Route 46 West
Suite 135
Fairfield, NJ 07004
Phone
(973) 943-4300
Fax
(973) 227-3335
NPI assigned
Feb 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 38MC00640200 NJ Primary

Addresses

Primary practice location

333A Route 46 West
Suite 135
Fairfield, NJ 07004

Mailing address

333A Route 46 West
Suite 135
Fairfield, NJ 07004
Phone (973) 943-4300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100311000671 NJ Practitioner - Chiropractic 1456496660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mecca Integrated Medical Center, LLCGroup PAC ID 5496890691, 10 clinicians

Practice addresses (Care Compare)

333A Route 46 W
Suite 135
Fairfield, NJ 07004-2415
Phone (973) 943-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00640200NJMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mecca Integrated Medical Center, LLC CurrentSince Dec 11, 2009 Accepting new patients

Locations

333A Route 46 W
Ste 135
Fairfield, NJ 07004
Phone (973) 775-9380

333A US Highway 46
Fairfield, NJ 07004
Phone (973) 943-4300

Organizations & group practices 1

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": "1203724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1154590164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333A ROUTE 46 WEST",
            "address_2": "SUITE 135",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "07004",
            "telephone_number": "973-943-4300",
            "fax_number": "973-227-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333A ROUTE 46 WEST",
            "address_2": "SUITE 135",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "07004",
            "telephone_number": "973-943-4300",
            "fax_number": "973-227-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPIENZA",
        "first_name": "MICHAEL",
        "middle_name": "SANTINO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-23",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "38MC00640200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.