Active NPI
Ian Drew Fliss, DC
- Chiropractor
- Basking Ridge, NJ
National Provider Identifier
1578860482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00688200
- Practice address
- 560 Allen Rd
Basking Ridge, NJ 07920-3848 - Phone
- (908) 234-9400
- Fax
- (908) 234-9477
- NPI assigned
- Feb 13, 2011
- 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 | 38MC00688200 | NJ | Primary |
Addresses
Primary practice location
560 Allen Rd
Basking Ridge, NJ 07920-3848
Mailing address
3 Deer Hill Dr
Montville, NJ 07045-9678
Phone (908) 234-9400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
159 Newark Pompton Tpke
Pequannock Chiropractic Group
Pequannock, NJ 07440-1300
Phone (973) 628-0288
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starr Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
159 Newark Pompton Tpke
Pequannock, NJ 07440
Phone (973) 628-0288
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.
-
- Chiropractor
- Basking Ridge, NJ
- NPI 1780975557
-
- Chiropractor
- Pequannock, NJ
- NPI 1063279065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479427200000",
"number": "1578860482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 DEER HILL DR",
"city": "MONTVILLE",
"state": "NJ",
"postal_code": "070459678",
"telephone_number": "908-234-9400",
"fax_number": "908-234-9477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 ALLEN RD",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079203848",
"telephone_number": "908-234-9400",
"fax_number": "908-234-9477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLISS",
"first_name": "IAN",
"middle_name": "DREW",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-13",
"last_updated": "2016-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00688200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Basking Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.