Organization Active NPI

Village Family Chiropractic, LLC

  • Chiropractor
  • Allamuchy, NJ
National Provider Identifier
1659588796
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00621900 Issued in NJ
Legal business name
VILLAGE FAMILY CHIROPRACTIC, LLC
Practice address
773 Route 517
Village Square at Panther Valley
Allamuchy, NJ 07820-0333
Phone
(908) 813-8200
NPI assigned
May 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Robert Fedich, D.C.NPI 1326121195
Title
President
Phone
(908) 813-8200

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
Chiropractor 111N00000X 38MC00621900 NJ Primary

Addresses

Primary practice location

773 Route 517
Village Square at Panther Valley
Allamuchy, NJ 07820-0333

Mailing address

PO Box 333
Village Square at Panther Valley
Allamuchy, NJ 07820-0333
Phone (908) 813-8200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040701000103 NJ Part B Supplier - Clinic/Group Practice 5698752392 Receives reassigned benefits from 5 practitioners
Practice locations: Hackettstown, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659588796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 333",
            "address_2": "VILLAGE SQUARE AT PANTHER VALLEY",
            "city": "ALLAMUCHY",
            "state": "NJ",
            "postal_code": "078200333",
            "telephone_number": "908-813-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 ROUTE 517",
            "address_2": "VILLAGE SQUARE AT PANTHER VALLEY",
            "city": "ALLAMUCHY",
            "state": "NJ",
            "postal_code": "078200333",
            "telephone_number": "908-813-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FEDICH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-813-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00621900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allamuchy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.