Active NPI
Ross Alan Fialkov, D.C.
- Chiropractor
- Mountainside, NJ
National Provider Identifier
1285969030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00780100
- Practice address
- 213 Summit Rd Ste 2L
Mountainside, NJ 07092-2316 - Phone
- (908) 264-8116
- Fax
- (888) 908-8284
- NPI assigned
- Oct 13, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X012532 | NY | |
| Chiropractor | 111N00000X | 38MC00780100 | NJ | Primary |
Addresses
Primary practice location
213 Summit Rd Ste 2L
Mountainside, NJ 07092-2316
Mailing address
149 Twin LN N
Wantagh, NY 11793-1943
Phone (516) 658-3362
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38MC00780100 | Other | NJ | LICENSE REGISTRATION |
| X012532 | Other | NY | LICENSE |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00780100 | NJ | MD | Chiropractor |
| X012532 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hockessin Chiropractic Centre | Chiropractor | Past | Accepting new patients |
| Palm Coast Chiropractic Center, Jta Inc | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Hockessin, DE
- NPI 1649212929
-
- Chiropractor
- Bunnell, FL
- NPI 1679673396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1285969030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 TWIN LN N",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117931943",
"telephone_number": "516-658-3362",
"fax_number": "516-595-1685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 SUMMIT RD STE 2L",
"city": "MOUNTAINSIDE",
"state": "NJ",
"postal_code": "070922316",
"telephone_number": "908-264-8116",
"fax_number": "888-908-8284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIALKOV",
"first_name": "ROSS",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-13",
"last_updated": "2024-03-29",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X012532",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00780100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE REGISTRATION",
"identifier": "38MC00780100",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "X012532",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mountainside, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.