Active NPI
Marc Peter Jaffe, DC
- Chiropractor
- Fanwood, NJ
National Provider Identifier
1629299540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00302200
- Practice address
- 313 South Ave Ste 205
Fanwood, NJ 07023-1364 - Phone
- (908) 288-7049
- Fax
- (908) 522-0523
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 38MC00302200 | NJ | Primary |
Addresses
Primary practice location
313 South Ave Ste 205
Fanwood, NJ 07023-1364
Mailing address
313 South Ave Ste 205
Fanwood, NJ 07023-1364
Phone (908) 288-7049
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00302200 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1629299540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 SOUTH AVE STE 205",
"city": "FANWOOD",
"state": "NJ",
"postal_code": "070231364",
"telephone_number": "908-288-7049",
"fax_number": "908-522-0523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 SOUTH AVE STE 205",
"city": "FANWOOD",
"state": "NJ",
"postal_code": "070231364",
"telephone_number": "908-288-7049",
"fax_number": "908-522-0523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFE",
"first_name": "MARC",
"middle_name": "PETER",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00302200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fanwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.