Active NPI
Leonard Confalone, DC
- Chiropractor
- Kendall Park, NJ
National Provider Identifier
1578748844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC03102
- Practice address
- 90 Sand Hills Rd
Kendall Park, NJ 08824-1340 - Phone
- (732) 821-1589
- Fax
- (732) 821-7387
- NPI assigned
- Jan 7, 2008
- 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 | MC03102 | NJ | Primary |
Addresses
Primary practice location
90 Sand Hills Rd
Kendall Park, NJ 08824-1340
Mailing address
90 Sand Hills Rd
Kendall Park, NJ 08824-1340
Phone (732) 821-1589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100622000505 | NJ | Practitioner - Chiropractic | 3375674245 | Practice locations: Kendall Park, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 1984
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
90 Sand Hills Rd
Kendall Park, NJ 08824-1340
Phone (732) 821-1589
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC03102 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1578748844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 SAND HILLS RD",
"city": "KENDALL PARK",
"state": "NJ",
"postal_code": "088241340",
"telephone_number": "732-821-1589",
"fax_number": "732-821-7387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 SAND HILLS RD",
"city": "KENDALL PARK",
"state": "NJ",
"postal_code": "088241340",
"telephone_number": "732-821-1589",
"fax_number": "732-821-7387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONFALONE",
"first_name": "LEONARD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-07",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC03102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kendall Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.