Individual provider Active NPI

Mark Leo Hagopian, D.C.

  • Chiropractor
  • Fort Lee, NJ
National Provider Identifier
1326057654
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
1331 Anderson Ave
Suite -F
Fort Lee, NJ 07024-1772
Phone
(201) 224-6361
NPI assigned
Aug 5, 2006
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
Chiropractor 111N00000X NJ Primary

Addresses

Primary practice location

1331 Anderson Ave
Suite -F
Fort Lee, NJ 07024-1772

Mailing address

1331 Anderson Ave
Suite -F
Fort Lee, NJ 07024-1772
Phone (201) 224-6361

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

State licenses

LicenseStateTypeSpecialty
38MCO0196400NJMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326057654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 ANDERSON AVE",
            "address_2": "SUITE -F",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070241772",
            "telephone_number": "201-224-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 ANDERSON AVE",
            "address_2": "SUITE -F",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070241772",
            "telephone_number": "201-224-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGOPIAN",
        "first_name": "MARK",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, 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.

Verify at the official NPI Registry.