Active NPI
Dean Sottile, D.C.
- Chiropractor
- Clifton, NJ
National Provider Identifier
1528115433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC00558800
- Practice address
- 411 Main Ave
Clifton, NJ 07014-1333 - Phone
- (973) 473-8975
- Fax
- (973) 773-5426
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC00558800 | NJ | Primary |
Addresses
Primary practice location
411 Main Ave
Clifton, NJ 07014-1333
Mailing address
411 Main Ave
Clifton, NJ 07014-1333
Phone (973) 473-8975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC00558800 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1528115433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 MAIN AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070141333",
"telephone_number": "973-473-8975",
"fax_number": "973-773-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 MAIN AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070141333",
"telephone_number": "973-473-8975",
"fax_number": "973-773-5426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTTILE",
"first_name": "DEAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC00558800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.