Vito Minervini, D.C.,C.C.E.P.,C.C.SP

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

38MC00584400 Issued in NJ

Practice address

75 Fleetwood Dr
Suite 215
Rockaway, NJ 07866-2265

Phone

(973) 361-4378

NPI assigned

Jan 2, 2006

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

Life Chiropractic College - West, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• West Hudson Chiropractic Center, PC

  • Chiropractor
  • Kearny, NJ
  • NPI 1508141169
  NPD (past)

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

{
    "created_epoch": "1136160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1447238308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 JORDAN RD",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FLEETWOOD DR",
            "address_2": "SUITE 215",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662265",
            "telephone_number": "973-361-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINERVINI",
        "first_name": "VITO",
        "name_prefix": "Dr.",
        "credential": "D.C.,C.C.E.P.,C.C.SP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-02",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00584400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Meseck
• Jenna Meyerberg
• Michael L Feld
• Denise Marie Michalowski, LCSW, LCADC
• Mindful Mend Therapy
• Madeeha Mirza
• Saman Moazami, M.D.
• Mobile Health Services
• Monica Hernandez
• Sara Victoria Monk, RD

• Sports Physician Chiropractor in Rockaway, NJ
• Providers in Rockaway, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.