Individual provider Active NPI

Albert Stabile Jr., D.C.

  • Rehabilitation Chiropractor
  • Hackensack, NJ
National Provider Identifier
1265643233
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
38MC00130100 Issued in NJ
Practice address
381 Park St
Hackensack, NJ 07601-4350
Phone
(201) 342-6111
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 38MC00130100 NJ Primary

Addresses

Primary practice location

381 Park St
Hackensack, NJ 07601-4350

Mailing address

381 Park St
Hackensack, NJ 07601-4350
Phone (201) 342-6111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140828002188 NJ Practitioner - Chiropractic 6709004021 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00130100NJMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Chiropractic Family Health & Wellness Center, P.a. Rehabilitation CurrentSince Jan 1, 1989 Accepting new patients
Spine & Balance Center of NJ, LLC PastSince Sep 25, 2019 Accepting new patients

Locations

381 Park St
Hackensack, NJ 07601
Phone (201) 342-6111

381 Park St
Ste 2A
Hackensack, NJ 07601
Phone (201) 342-6111

179 Cedar Ln
Ste B
Teaneck, NJ 07666
Phone (201) 591-3141

Organizations & group practices 2

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265643233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 PARK ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014350",
            "telephone_number": "201-342-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 PARK ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014350",
            "telephone_number": "201-342-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STABILE",
        "first_name": "ALBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "38MC00130100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.