Individual provider Active NPI

Francis Teresa, D.C.

  • Chiropractor
  • West Caldwell, NJ
National Provider Identifier
1396895843
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00421700 Issued in NJ
Practice address
1140 Bloomfield Ave
Suite 230
West Caldwell, NJ 07006-7130
Phone
(973) 808-6800
Fax
(973) 808-7100
NPI assigned
Jan 10, 2007
Last updated
Feb 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00421700 NJ Primary

Addresses

Primary practice location

1140 Bloomfield Ave
Suite 230
West Caldwell, NJ 07006-7130

Mailing address

1140 Bloomfield Ave
Suite 230
West Caldwell, NJ 07006-7130
Phone (973) 808-6800

Other identifiers 1

IdentifierTypeStateIssuer
P2789325OtherNJOXFORD PROVIDER ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130523000053 NJ Practitioner - Chiropractic 0244478774 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1396895843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BLOOMFIELD AVE",
            "address_2": "SUITE 230",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067130",
            "telephone_number": "973-808-6800",
            "fax_number": "973-808-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BLOOMFIELD AVE",
            "address_2": "SUITE 230",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067130",
            "telephone_number": "973-808-6800",
            "fax_number": "973-808-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERESA",
        "first_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00421700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER ID",
            "identifier": "P2789325",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.