Jack Famiglio, DC, ATC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH13768 Issued in FL

Practice address

9841 Pines Blvd
Pembroke Pines, FL 33024-6100

Phone

(954) 437-5414

NPI assigned

Aug 17, 2015

Last updated

Oct 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert D Stein DC PAGroup PAC ID 1052589967, 2 clinicians

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.

• Robert D Stein DC PA

  • Sports Physician Chiropractor
  • Pembroke Pines, FL
  • NPI 1013133453
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1346616190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9841 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246100",
            "telephone_number": "954-309-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9841 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246100",
            "telephone_number": "954-437-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAMIGLIO",
        "first_name": "JACK",
        "credential": "DC, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-17",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13768",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "ATH.200458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Counseling Services
• Alexandra Jose Fajardo Gil, MA
• Dainerys Falcon Espinosa
• Ginny Falcon
• Jessika Falcon
• Family & Patient Health Group LLC
• Family Health & Wellness Center of Pembroke Pines Inc.Life Chiropracti
• Family Health Choice, Inc
• Family Medical Group Pembroke Pines, LLC
• Family Oasis Nurse Registry Inc

• Chiropractor in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.