Individual provider Active NPI

Daniel Nassirzadeh, DC

  • Chiropractor
  • Cliffside Park, NJ
National Provider Identifier
1518207257
Registry record updated Feb 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00703000 Issued in NJ
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

Updated by the provider on Feb 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20250715002227 NJ Practitioner - Chiropractic 8729593140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family PM LLCGroup PAC ID 1951816354, 2 clinicians

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

LicenseStateTypeSpecialty
X012234-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family PM LLC CurrentSince May 25, 2025 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.

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.

Verify at the official NPI Registry.