Individual provider Active NPI

Robert J. Failla, D.C.

  • Neurology Chiropractor
  • Avenel, NJ
National Provider Identifier
1619014222
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
38MC00264600 Issued in NJ
Practice address
245 Avenel St
Avenel, NJ 07001-1433
Phone
(732) 636-7813
Fax
(732) 636-0830
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
38MC00264600NJMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Avenel Family Chiropractic, LLC Neurology Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 38MC00264600 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

245 Avenel St
Avenel, NJ 07001-1433

Mailing address

245 Avenel St
Avenel, NJ 07001-1433
Phone (732) 636-7813

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619014222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 AVENEL ST",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011433",
            "telephone_number": "732-636-7813",
            "fax_number": "732-636-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 AVENEL ST",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011433",
            "telephone_number": "732-636-7813",
            "fax_number": "732-636-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAILLA",
        "first_name": "ROBERT",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NJ",
            "license": "38MC00264600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avenel, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.