Active NPI
David A Fontanella, DC
- Chiropractor
- Totowa, NJ
National Provider Identifier
1285856443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4675
- Practice address
- 290 Union Blvd
Ste 1
Totowa, NJ 07512-2610 - Phone
- (973) 720-1700
- Fax
- (973) 720-1701
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 4675 | NJ | Primary |
Addresses
Primary practice location
290 Union Blvd
Ste 1
Totowa, NJ 07512-2610
Mailing address
290 Union Blvd
Ste 1
Totowa, NJ 07512
Phone (973) 720-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
290 Union Blvd
Suite 1
Totowa, NJ 07512-2610
Phone (973) 720-1700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4675 | NJ | MD | Speech-Language Pathologist |
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.
-
- Multi-Specialty Clinic/Center
- Totowa, NJ
- NPI 1265644363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1285856443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 UNION BLVD",
"address_2": "STE 1",
"city": "TOTOWA",
"state": "NJ",
"postal_code": "07512",
"telephone_number": "973-720-1700",
"fax_number": "973-720-1701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 UNION BLVD",
"address_2": "STE 1",
"city": "TOTOWA",
"state": "NJ",
"postal_code": "075122610",
"telephone_number": "973-720-1700",
"fax_number": "973-720-1701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTANELLA",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "4675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Totowa, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.