Organization Active NPI

Fair Lawn Chiropractic Clinic PA

  • Chiropractor
  • Fair Lawn, NJ
National Provider Identifier
1609936343
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00180700NJ Issued in NJ
Legal business name
FAIR LAWN CHIROPRACTIC CLINIC PA
Practice address
41-35 Naugle Dr
Fair Lawn, NJ 07410-5905
Phone
(201) 797-1315
Fax
(201) 797-1315
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Dr. Norbert David Florczynski, D.C.
Title
Clinic Director
Phone
(201) 797-1315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00180700NJ NJ Primary

Addresses

Primary practice location

41-35 Naugle Dr
Fair Lawn, NJ 07410-5905

Mailing address

41-35 Naugle Dr
Fair Lawn, NJ 07410-5905
Phone (201) 797-1315

Other identifiers 1

IdentifierTypeStateIssuer
1179403MedicaidNJ

National Provider Directory

National Provider Directory

Locations

9-02 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 797-1315

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1609936343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41-35 NAUGLE DR",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105905",
            "telephone_number": "201-797-1315",
            "fax_number": "201-797-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-35 NAUGLE DR",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105905",
            "telephone_number": "201-797-1315",
            "fax_number": "201-797-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR LAWN CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "FLORCZYNSKI",
        "authorized_official_first_name": "NORBERT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "201-797-1315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00180700NJ",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1179403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.