Organization Active NPI

Fall Prevention and Rehabilitation, LLP

  • Chiropractor
  • West Orange, NJ
National Provider Identifier
1639105919
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FALL PREVENTION AND REHABILITATION, LLP
Practice address
77 Main St
Suite 5
West Orange, NJ 07052-5495
Phone
(973) 324-2111
Fax
(732) 212-0713
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Michelle Dubnoff, DCNPI 1225066210
Title
President
Phone
(973) 324-2111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X NJ Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X NJ
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X NJ
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X NJ

Addresses

Primary practice location

77 Main St
Suite 5
West Orange, NJ 07052-5495

Mailing address

77 Main St
Suite 5
West Orange, NJ 07052-5495
Phone (973) 324-2111

Other identifiers 2

IdentifierTypeStateIssuer
2742788000OtherNJAMERIHEALTH
DF2512OtherNJRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

111 S Munn Ave
East Orange, NJ 07018
Phone (973) 673-0202

80 Main St
Fl 2
West Orange, NJ 07052
Phone (973) 324-2111

77 Main St
Ste 5
West Orange, NJ 07052
Phone (973) 324-2111

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639105919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MAIN ST",
            "address_2": "SUITE 5",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525495",
            "telephone_number": "973-324-2111",
            "fax_number": "732-212-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MAIN ST",
            "address_2": "SUITE 5",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525495",
            "telephone_number": "973-324-2111",
            "fax_number": "732-212-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALL PREVENTION AND REHABILITATION, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DUBNOFF",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-324-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2742788000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF2512",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.