Alfred J. Fenelle, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MCO3518 Issued in NJ

Practice address

19 W Passaic St
Rochelle Park, NJ 07662-3213

Phone

(201) 843-4140

Fax

(201) 843-4892

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

Yes

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

Palmer College Chiropractic - Davenport, 1987

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Infinity Rehabilitation and Sports Medicine LLC

  • Physical Therapy Clinic/Center
  • Rochelle Park, NJ
  • NPI 1427266949
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386772564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W PASSAIC ST",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623213",
            "telephone_number": "201-843-4140",
            "fax_number": "201-843-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W PASSAIC ST",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623213",
            "telephone_number": "201-843-4140",
            "fax_number": "201-843-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENELLE",
        "first_name": "ALFRED",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MCO3518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estrella Estrella
• Evergreen Physicians of North Jersey, PC
• Exclusive Sports & Rehab LLC
• Miriam Zisel Falkovsky, DPT
• Family Care Dental Professional Association
• Karolyna Fernandez, LPC, LCADC, ACS
• Adam Fishman
• Five Towns Pharmacy LLC
• Fordham-Lewis Consulting, L.L.C.
• Fordham-Lewis Consulting, LLC

• Chiropractor in Rochelle Park, NJ
• Providers in Rochelle Park, NJ by specialty
• Chiropractor in New Jersey

• 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.

Verify at the official NPI Registry.