Active NPI
Robert Tartaglia, D.S.
- Chiropractor
- Wayne, NJ
National Provider Identifier
1376561431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00590400
- Practice address
- 401 Hamburg Tpke
Wayne, NJ 07470-2154 - Phone
- (201) 264-2099
- Fax
- (201) 327-3597
- NPI assigned
- Jul 17, 2006
- 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 | 38MC00590400 | NJ | Primary |
Addresses
Primary practice location
401 Hamburg Tpke
Wayne, NJ 07470-2154
Mailing address
1 Elden Dr
Saddle River, NJ 07458-2809
Phone (201) 264-2099
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
- Life Chiropractic College - West, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Broadway
Suite 105
Elmwood Park, NJ 07407-1843
Phone (973) 529-3197
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00590400 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Premier Medical Care LLC | Past | Accepting new patients | |
| Revoredo Medical Affiliates LLC | Past | Accepting new patients | |
| R & R Rehabilitation and Physical Therapy, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FAJEDD
Organizations & group practices 4
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
- Paterson, NJ
- NPI 1710302401
-
- Family Medicine Physician
- Paterson, NJ
- NPI 1609144005
-
- Physical Therapy Clinic/Center
- Paramus, NJ
- NPI 1396779559
-
- Family Medicine Physician
- Paterson, NJ
- NPI 1881927358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376561431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ELDEN DR",
"city": "SADDLE RIVER",
"state": "NJ",
"postal_code": "074582809",
"telephone_number": "201-264-2099",
"fax_number": "201-327-3597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 HAMBURG TPKE",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702154",
"telephone_number": "201-264-2099",
"fax_number": "201-327-3597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARTAGLIA",
"first_name": "ROBERT",
"credential": "D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00590400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, 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.
- 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.