Individual provider Active NPI

Fadi Sarkis

  • Chiropractor
  • Clifton, NJ
National Provider Identifier
1578989554
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00715400 Issued in NJ
Practice address
716 Broad St
Suite 1E
Clifton, NJ 07013
Phone
(973) 246-9355
Fax
(973) 246-9356
NPI assigned
Mar 13, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00715400 NJ Primary

Addresses

Primary practice location

716 Broad St
Suite 1E
Clifton, NJ 07013

Mailing address

53 Forest Ave
Westwood, NJ 07675-3314
Phone (973) 246-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141104001296 NJ Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 6608098819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Body Wellness Center, LLCGroup PAC ID 7719109925, 3 clinicians

Practice addresses (Care Compare)

716 Broad St
Clifton, NJ 07013-1645
Phone (973) 246-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Body Wellness Center LLC Chiropractor CurrentSince Sep 9, 2014 Accepting new patients

Locations

716 Broad St
Ste 2C
Clifton, NJ 07013

716 Broad St
Ste 1E
Clifton, NJ 07013
Phone (973) 246-9355

714 Kearny Ave
Kearny, NJ 07032
Phone (201) 772-5211

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1578989554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 FOREST AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753314",
            "telephone_number": "973-246-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 BROAD ST",
            "address_2": "SUITE 1E",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07013",
            "telephone_number": "973-246-9355",
            "fax_number": "973-246-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARKIS",
        "first_name": "FADI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-13",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00715400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.