Individual provider Active NPI

Karim Habib Faris, D.C., M.S.

  • Chiropractor
  • Cedar Grove, NJ
National Provider Identifier
1639516453
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00693300 Issued in NJ
Practice address
50 W Lindsley Rd
Unit #3
Cedar Grove, NJ 07009-1053
Phone
(973) 879-4074
NPI assigned
Jun 3, 2013
Last updated
Jun 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00693300 NJ Primary

Addresses

Primary practice location

50 W Lindsley Rd
Unit #3
Cedar Grove, NJ 07009-1053

Mailing address

50 W Lindsley Rd
Unit #3
Cedar Grove, NJ 07009-1053
Phone (973) 879-4074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190429002753 NJ Practitioner - Chiropractic 5597007286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

80 E Main St
Little Falls, NJ 07424-1600
Phone (973) 237-1221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
38MC00693300NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Giancola Chiropractic Chiropractor CurrentSince Feb 4, 2019 Accepting new patients

Locations

1425 Pompton Ave
Ste 2-1A
Cedar Grove, NJ 07009
Phone (973) 237-1221

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1639516453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W LINDSLEY RD",
            "address_2": "UNIT #3",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091053",
            "telephone_number": "973-879-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W LINDSLEY RD",
            "address_2": "UNIT #3",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091053",
            "telephone_number": "973-879-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIS",
        "first_name": "KARIM",
        "middle_name": "HABIB",
        "name_prefix": "Dr.",
        "credential": "D.C., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00693300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Grove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.