Active NPI
Robert J Fallon, D.C.
- Chiropractor
- Scotch Plains, NJ
National Provider Identifier
1285611855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC02101
- Practice address
- 1814 E 2ND St
Scotch Plains, NJ 07076-1751 - Phone
- (908) 322-6611
- Fax
- (908) 226-3001
- NPI assigned
- Dec 27, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC02101 | NJ | Primary |
Addresses
Primary practice location
1814 E 2ND St
Scotch Plains, NJ 07076-1751
Mailing address
1814 E 2ND St
Scotch Plains, NJ 07076-1751
Phone (908) 322-6611
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2748913 | Other | NJ | OXFORD |
| 1142003 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2101 | NJ | MD | Clinical Psychologist |
| MC02101 | NJ | MD | Chiropractor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Scotch Plains, NJ
- NPI 1679819700
-
- General Practice Physician
- Scotch Plains, NJ
- NPI 1851772974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285611855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1814 E 2ND ST",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070761751",
"telephone_number": "908-322-6611",
"fax_number": "908-226-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1814 E 2ND ST",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070761751",
"telephone_number": "908-322-6611",
"fax_number": "908-226-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALLON",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC02101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2748913",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1142003",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scotch Plains, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.