Organization Active NPI

Chiropractic Neurology Center of Essex County LLC

  • Neurology Chiropractor
  • Verona, NJ
National Provider Identifier
1164650511
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
MCO3344 Issued in NJ
Legal business name
CHIROPRACTIC NEUROLOGY CENTER OF ESSEX COUNTY LLC
Practice address
685 Bloomfield Avenue
Suite 104
Verona, NJ 07044-1600
Phone
(973) 239-0070
Fax
(973) 239-9105
NPI assigned
Jun 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Authorized official

Name
Dr. Paul Frank Stefanelli, DCNPI 1679645261
Title
Owner
Phone
(973) 239-0070

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)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X MCO3344 NJ Primary

Addresses

Primary practice location

685 Bloomfield Avenue
Suite 104
Verona, NJ 07044-1600

Mailing address

685 Bloomfield Avenue
Suite 104
Verona, NJ 07044-1600
Phone (973) 239-0070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181207001276 NJ Part B Supplier - Clinic/Group Practice 6002150646 Receives reassigned benefits from 1 practitioner
Practice locations: Verona, NJ

National Provider Directory

National Provider Directory

Locations

685 Bloomfield Ave
Ste 104
Verona, NJ 07044
Phone (973) 239-0070

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530835200000",
    "number": "1164650511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 BLOOMFIELD AVENUE",
            "address_2": "SUITE 104",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441600",
            "telephone_number": "973-239-0070",
            "fax_number": "973-239-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 BLOOMFIELD AVENUE",
            "address_2": "SUITE 104",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441600",
            "telephone_number": "973-239-0070",
            "fax_number": "973-239-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC NEUROLOGY CENTER OF ESSEX COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2018-07-06",
        "status": "A",
        "authorized_official_last_name": "STEFANELLI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-239-0070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "NJ",
            "license": "MCO3344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.

Verify at the official NPI Registry.