Individual provider Active NPI

Michael Rouskas, DC

  • Chiropractor
  • Fairfield, NJ
National Provider Identifier
1487494084
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00800000 Issued in NJ
Practice address
1275 Bloomfield Avenue
Building 20, Unit 146
Fairfield, NJ 07004
Phone
(973) 996-0061
NPI assigned
May 30, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00800000 NJ Primary

Addresses

Primary practice location

1275 Bloomfield Avenue
Building 20, Unit 146
Fairfield, NJ 07004

Mailing address

1275 Bloomfield Avenue
Building 20, Unit 146
Fairfield, NJ 07004
Phone (973) 996-0061

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260602000298 NJ Practitioner - Chiropractic 0345710794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1275 Bloomfield Ave
Building 20 Unit 146
Fairfield, NJ 07004-2730

1275 Bloomfield Ave
Unit 146
Fairfield, NJ 07004-2708
Phone (973) 996-0061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00800000NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michael E. Rouskas D.C. LLC Chiropractor CurrentSince Jun 9, 2024 Accepting new patients

Locations

1275 Bloomfield Ave
Bldg 20
Fairfield, NJ 07004
Phone (973) 996-0061

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1487494084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 BLOOMFIELD AVENUE",
            "address_2": "BUILDING 20, UNIT 146",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "07004",
            "telephone_number": "973-996-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 BLOOMFIELD AVENUE",
            "address_2": "BUILDING 20, UNIT 146",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "07004",
            "telephone_number": "973-996-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSKAS",
        "first_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-30",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00800000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.