Organization Active NPI

Invictus Family Chiropractic

  • Chiropractor
  • Denville, NJ
National Provider Identifier
1649600065
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00690900 Issued in NJ
Legal business name
INVICTUS FAMILY CHIROPRACTIC
Practice address
276 E Main St
11
Denville, NJ 07834-2646
Phone
(973) 627-0475
NPI assigned
Nov 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Authorized official

Name
Dr. Daniel Eleuteri, D.C.NPI 1710286893
Title
Owner
Phone
(973) 627-0475

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00690900 NJ Primary

Addresses

Primary practice location

276 E Main St
11
Denville, NJ 07834-2646

Mailing address

276 E Main St
11
Denville, NJ 07834-2646
Phone (973) 627-0475

Other identifiers 1

IdentifierTypeStateIssuer
1710286893OtherNJNATIONAL PROVIDER IDENTIFIER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140207001123 NJ Part B Supplier - Clinic/Group Practice 4082843370 Receives reassigned benefits from 1 practitioner
Practice locations: Denville, NJ

National Provider Directory

National Provider Directory

Locations

276 E Main St
Ste 11
Denville, NJ 07834
Phone (973) 627-0475

Practitioners & affiliated clinicians

Practitioners 1

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": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1649600065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 E MAIN ST",
            "address_2": "11",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342646",
            "telephone_number": "973-627-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 E MAIN ST",
            "address_2": "11",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342646",
            "telephone_number": "973-627-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVICTUS FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "ELEUTERI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-627-0475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00690900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1710286893",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.