NPIMap

Organization Active NPI

Summit Chiropractic LLC

  • Chiropractor
  • Totowa, NJ
National Provider Identifier
1669988192
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC04563 Issued in NJ
Legal business name
SUMMIT CHIROPRACTIC LLC
Practice address
392 Totowa Rd
Totowa, NJ 07512-2075
Phone
(973) 942-9400
Fax
(973) 942-9300
NPI assigned
Dec 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Authorized official

Name
Dr. Anthony Fava, DCNPI 1174689830
Title
Member
Phone
(973) 703-7008

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 MC04563 NJ Primary

Addresses

Primary practice location

392 Totowa Rd
Totowa, NJ 07512-2075

Mailing address

392 Totowa Rd
Totowa, NJ 07512-2075
Phone (973) 942-9400

National Provider Directory

National Provider Directory

Locations

392 Totowa Rd
Totowa, NJ 07512
Phone (973) 942-9400

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": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1669988192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 TOTOWA RD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122075",
            "telephone_number": "973-942-9400",
            "fax_number": "973-942-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 TOTOWA RD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122075",
            "telephone_number": "973-942-9400",
            "fax_number": "973-942-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "FAVA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "973-703-7008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.