Individual provider Active NPI

Michele Takacs, DC

  • Chiropractor
  • Lafayette, NJ
National Provider Identifier
1386780872
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MCO2840 Issued in NJ
Practice address
82 State Route 15
Lafayette, NJ 07848-2406
Phone
(973) 383-5052
NPI assigned
Jan 30, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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 MCO2840 NJ Primary

Addresses

Primary practice location

82 State Route 15
Lafayette, NJ 07848-2406

Mailing address

82 State Route 15
Lafayette, NJ 07848-2406
Phone (973) 383-5052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111207000768 NJ Practitioner - Chiropractic 7810162500 Practice locations: Lafayette, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MCO2840NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Health Center LLC Chiropractor CurrentSince Jun 14, 2020 Accepting new patients
Takacs Chiropractic Center Past Accepting new patients

Locations

82 State Route 15
Lafayette, NJ 07848
Phone (973) 383-5052

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386780872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 STATE ROUTE 15",
            "city": "LAFAYETTE",
            "state": "NJ",
            "postal_code": "078482406",
            "telephone_number": "973-383-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 STATE ROUTE 15",
            "city": "LAFAYETTE",
            "state": "NJ",
            "postal_code": "078482406",
            "telephone_number": "973-383-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKACS",
        "first_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MCO2840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.