Organization Active NPI

Faris Chiropractic

  • Chiropractor
  • Cedar Grove, NJ
National Provider Identifier
1497193130
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00693300 Issued in NJ
Legal business name
FARIS CHIROPRACTIC
Practice address
1425 Pompton Ave Ste 2-1a
Cedar Grove, NJ 07009-1074
Phone
(973) 237-1221
Fax
(973) 237-0884
NPI assigned
Jun 4, 2013
Last updated
Apr 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Authorized official

Name
Dr. Karim Habib Faris, D.C., M.S.NPI 1639516453
Title
Chiropractor
Phone
(973) 879-4074

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
Chiropractor 111N00000X 38MC00693300 NJ Primary

Addresses

Primary practice location

1425 Pompton Ave Ste 2-1a
Cedar Grove, NJ 07009-1074

Mailing address

50 W Lindsley Rd
Unit #3
Cedar Grove, NJ 07009-1053
Phone (973) 879-4074

Other practice location 1

50 W Lindsley Rd
Unit #3
Cedar Grove, NJ 07009-1053
Phone (973) 879-4074

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190429002701 NJ Part B Supplier - Clinic/Group Practice 0042552739 Receives reassigned benefits from 1 practitioner
Practice locations: Little Falls, NJ

National Provider Directory

National Provider Directory

Locations

1425 Pompton Ave
Ste 2-1A
Cedar Grove, NJ 07009
Phone (973) 237-1221

80 E Main St
Little Falls, NJ 07424
Phone (973) 237-1221

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1497193130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W LINDSLEY RD",
            "address_2": "UNIT #3",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091053",
            "telephone_number": "973-879-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 POMPTON AVE STE 2-1A",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091074",
            "telephone_number": "973-237-1221",
            "fax_number": "973-237-0884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 W Lindsley Rd",
            "address_2": "Unit #3",
            "address_purpose": "LOCATION",
            "city": "Cedar Grove",
            "state": "NJ",
            "postal_code": "070091053",
            "country_code": "US",
            "telephone_number": "973-879-4074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FARIS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "FARIS",
        "authorized_official_first_name": "KARIM",
        "authorized_official_middle_name": "HABIB",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "973-879-4074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., M.S."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00693300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Grove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.