Active NPI
Daniel Nassirzadeh, DC
- Chiropractor
- Cliffside Park, NJ
National Provider Identifier
1518207257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00703000
- Practice address
- 200 Winston Dr
Apt. 1119
Cliffside Park, NJ 07010-3235 - Phone
- (646) 732-4891
- Fax
- (201) 594-9778
- NPI assigned
- Feb 17, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X012234-1 | NY | |
| Chiropractor | 111N00000X | 38MC00703000 | NJ | Primary |
Addresses
Primary practice location
200 Winston Dr
Apt. 1119
Cliffside Park, NJ 07010-3235
Mailing address
200 Winston Dr
Apt. 1119
Cliffside Park, NJ 07010-3235
Phone (646) 732-4891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Craig Rd
Suite 202
Manalapan, NJ 07726-8742
Phone (732) 970-7217
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X012234-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family PM LLC | Current | Accepting new patients | |
| First Step Solutions Inc | Chiropractor | Past | Accepting new patients |
Locations
300 Craig Rd
Ste 202
Manalapan, NJ 07726
Phone (732) 970-7217
Organizations & group practices 2
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Manalapan, NJ
- NPI 1104554633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361059200000",
"number": "1518207257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WINSTON DR",
"address_2": "APT. 1119",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070103235",
"telephone_number": "646-732-4891",
"fax_number": "201-594-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WINSTON DR",
"address_2": "APT. 1119",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070103235",
"telephone_number": "646-732-4891",
"fax_number": "201-594-9778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASSIRZADEH",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-17",
"last_updated": "2013-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X012234-1",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00703000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cliffside Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2013; 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.