James Robert Fedich, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00621900 Issued in NJ

Practice address

773 Route 517, Village Square Mall
Village Square @ Panther Valley
Allamuchy, NJ 07820

Phone

(908) 813-8200

NPI assigned

Oct 23, 2006

Last updated

Oct 18, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Village Family Chiropractic, LLC

  • Chiropractor
  • Allamuchy, NJ
  • NPI 1659588796
  Medicare reassignment NPD Authorized official
• Village Family Clinic, LLC

  • Chiropractor
  • Hackettstown, NJ
  • NPI 1477916658
  Authorized official Same address or phone

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1326121195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 ROUTE 517, VILLAGE SQUARE MALL",
            "address_2": "PO BOX 333",
            "city": "ALLAMUCHY",
            "state": "NJ",
            "postal_code": "07820",
            "telephone_number": "908-813-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 ROUTE 517, VILLAGE SQUARE MALL",
            "address_2": "VILLAGE SQUARE @ PANTHER VALLEY",
            "city": "ALLAMUCHY",
            "state": "NJ",
            "postal_code": "07820",
            "telephone_number": "908-813-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDICH",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00621900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anny Chan, RPH
• Rober Gary Kehler, D.C.
• Panther Healthcare Clinic Inc
• Ljupco Paskoski
• Roshni Shah, PHARM.D., R.PH.
• Soraci Physical Therapy

• Chiropractor in Allamuchy, NJ
• Providers in Allamuchy, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.