Organization Active NPI

Joseph Fischetti, PA

  • Chiropractor
  • Pompano Beach, FL
National Provider Identifier
1669864005
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10272 Issued in FL
Legal business name
JOSEPH FISCHETTI, PA
Practice address
2755 W Atlantic Blvd
Suite 103
Pompano Beach, FL 33069-2625
Phone
(754) 220-8781
Fax
(754) 220-8782
NPI assigned
Feb 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Dr. Joseph Fischetti, DC
Title
Chiropractic Physician
Phone
(754) 220-8781

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH10272 FL Primary
Spinal Cord Injury Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P0004X ME83875 FL

Addresses

Primary practice location

2755 W Atlantic Blvd
Suite 103
Pompano Beach, FL 33069-2625

Mailing address

2755 W Atlantic Blvd
Suite 103
Pompano Beach, FL 33069-2625
Phone (754) 220-8781

Other identifiers 1

IdentifierTypeStateIssuer
008CEOtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Non-Invasive Spine and Pain Center (NSPC) Doing business as

National Provider Directory

National Provider Directory

Locations

2755 W Atlantic Blvd
Ste 103
Pompano Beach, FL 33069
Phone (754) 220-8781

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1669864005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 W ATLANTIC BLVD",
            "address_2": "SUITE 103",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330692625",
            "telephone_number": "754-220-8781",
            "fax_number": "754-220-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 W ATLANTIC BLVD",
            "address_2": "SUITE 103",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330692625",
            "telephone_number": "754-220-8781",
            "fax_number": "754-220-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH FISCHETTI, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "FISCHETTI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "754-220-8781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10272",
            "primary": true
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "FL",
            "license": "ME83875",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "008CE",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Non-Invasive Spine and Pain Center (NSPC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.