Active NPI
Richard A Bodnarchuk, D.C.
- Chiropractor
- Little Falls, NJ
National Provider Identifier
1538267141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC05223
- Practice address
- 102 E Main St
Little Falls, NJ 07424-1693 - Phone
- (973) 256-0311
- Fax
- (973) 256-2192
- NPI assigned
- Sep 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC05223 | NJ | Primary |
Addresses
Primary practice location
102 E Main St
Little Falls, NJ 07424-1693
Mailing address
102 E Main St
Little Falls, NJ 07424-1693
Phone (973) 256-0311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040524000988 | NJ | Practitioner - Chiropractic | 9638160963 | Practice locations: Little Falls, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
102 E Main St
Little Falls, NJ 07424-1693
Phone (973) 256-0311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538267141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 E MAIN ST",
"city": "LITTLE FALLS",
"state": "NJ",
"postal_code": "074241693",
"telephone_number": "973-256-0311",
"fax_number": "973-256-2192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 E MAIN ST",
"city": "LITTLE FALLS",
"state": "NJ",
"postal_code": "074241693",
"telephone_number": "973-256-0311",
"fax_number": "973-256-2192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODNARCHUK",
"first_name": "RICHARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC05223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Falls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.