Robert G Buis, DC
Individual provider Active NPI Chiropractor · Hawthorne, NJ
NPI 1417465683 · NPPES record last updated Feb 8, 2018
Key facts
- NPI
- 1417465683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 38MC00750500 (NJ)
- Practice address
- 674 Lafayette Ave
Ste 5
Hawthorne, NJ 07506-2341 - Phone
- (973) 423-2116
- Fax
- (973) 423-4114
- NPI assigned
- Jan 22, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
674 Lafayette Ave
Suite 5
Hawthorne, NJ 07506-2341
Phone (973) 423-2116
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180301002144 | NJ | Practitioner - Chiropractic | 0143581462 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00750500 | NJ | Yes |
Addresses
Primary practice location
674 Lafayette Ave
Ste 5
Hawthorne, NJ 07506-2341
Mailing address
674 Lafayette Ave Ste 5
Hawthorne, NJ 07506-2341
Phone (973) 423-2116
Other providers in Hawthorne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.