Advanced Physical Medicine Center of Fairview, LLC
Organization Active NPI Chiropractor · Fairview, NJ
NPI 1538038716 · NPPES record last updated Nov 4, 2025
Key facts
- NPI
- 1538038716
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- ADVANCED PHYSICAL MEDICINE CENTER OF FAIRVIEW, LLC
- Practice address
- 222 Bergen Blvd Ste 8
Fairview, NJ 07022-1300 - Phone
- (201) 945-1156
- Fax
- (201) 945-0012
- NPI assigned
- Nov 4, 2025
- Organization subpart
- No
Authorized official
- Name
- David Berk, DC
- Title
- Owner
- Phone
- (201) 945-1156
Practitioners 18
-
Frederick D Gangemi, M.D.
-
Ross Louis Nochimson, D.O.
-
Michael Arber, DC
-
Antonio Ciccone, DO
-
Marianne Flores, PT
-
Robert B Kelly, D.O.
-
German Laufer, M.D.
-
Mark L Schwartz, D.O.
-
Kara Judith Suche, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251231004158 | NJ | Part B Supplier - Clinic/Group Practice | 0042706731 |
Receives reassigned benefits from 6 practitioners Practice locations: Fairview, NJ |
National Provider Directory
Locations
222 Bergen Blvd
Ste 8
Fairview, NJ 07022
Phone (201) 945-1156
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes | ||
| Physical Therapist |
225100000X |
Addresses
Primary practice location
222 Bergen Blvd Ste 8
Fairview, NJ 07022-1300
Mailing address
222 Bergen Blvd Ste 8
Fairview, NJ 07022-1300
Phone (201) 945-1156
Other providers in Fairview, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.