Stephen E Defelice Sr.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00413300 Issued in NJ

Practice address

1905 Geraldine CT
Wall Township, NJ 07719-9156

Phone

(732) 757-5097

Fax

(732) 655-1081

NPI assigned

Mar 27, 2017

Last updated

Mar 27, 2017By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1487185831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 GERALDINE CT",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199156",
            "telephone_number": "732-757-5097",
            "fax_number": "732-655-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 GERALDINE CT",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199156",
            "telephone_number": "732-757-5097",
            "fax_number": "732-655-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFELICE",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00413300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Daddario
• Dailey Oms
• Charles B. Daknis, M.D.
• Mona Dalia, PA-C
• Maureen Elizabeth Dallhoff, MD
• Michelle Delaney, APN
• Gina Maria Delcurla, D.O.
• Lyndsay Deluca, APN
• Christine B Desantis, APRN
• Kelly Ann Difabio, DO

• Chiropractor in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.