Organization Active NPI

Nicholas F. Stabile, DC, PC

  • Chiropractor
  • Nutley, NJ
National Provider Identifier
1487664652
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC005796 Issued in NJ
Legal business name
NICHOLAS F. STABILE, DC, PC
Practice address
187 Washington Ave Ste 2B
Nutley, NJ 07110-1995
Phone
(973) 661-0500
Fax
(973) 661-0562
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Dr. Nicholas Frank Stabile, DCNPI 1952351413
Title
Owner
Phone
(973) 661-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X MC005796 NJ Primary

Addresses

Primary practice location

187 Washington Ave Ste 2B
Nutley, NJ 07110-1995

Mailing address

187 Washington Ave Ste 2B
Nutley, NJ 07110-1995
Phone (973) 661-0500

Other names 1

  • Family Chiropractic Center of Nutley Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061031000071 NJ Part B Supplier - Clinic/Group Practice 0042217374 Receives reassigned benefits from 2 practitioners
Practice locations: Elmwood Park, NJ; Nutley, NJ

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

155 Park Ave
Lyndhurst, NJ 07071
Phone (201) 939-3330

265 Franklin Ave
Nutley, NJ 07110
Phone (973) 661-0500

187 Washington Ave
Ste 2B
Nutley, NJ 07110
Phone (973) 661-0500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1487664652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 WASHINGTON AVE STE 2B",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101995",
            "telephone_number": "973-661-0500",
            "fax_number": "973-661-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 WASHINGTON AVE STE 2B",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101995",
            "telephone_number": "973-661-0500",
            "fax_number": "973-661-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS F. STABILE, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "STABILE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-661-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC005796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Chiropractic Center of Nutley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.