Individual provider Active NPI

Paul Frank Stefanelli, D.C.D.A.C.N.B..

  • Neurology Chiropractor
  • Belleville, NJ
National Provider Identifier
1679645261
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
MCO3344 Issued in NJ
Practice address
567 Franklin Ave
Belleville, NJ 07109-1540
Phone
(973) 450-1003
Fax
(973) 450-5302
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X MCO3344 NJ Primary

Addresses

Primary practice location

567 Franklin Ave
Belleville, NJ 07109-1540

Mailing address

567 Franklin Ave
Belleville, NJ 07109-1540
Phone (973) 450-1003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110408000431 NJ Practitioner - Chiropractic 9032393418 Reassigns benefits to 1 organization
Practice locations: Verona, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

685 Bloomfield Ave
Suite 104
Verona, NJ 07044-1600
Phone (973) 239-0070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MCO3344NJMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Neurology Center of Essex County LLC Neurology CurrentSince Sep 26, 2018 Accepting new patients

Locations

685 Bloomfield Ave
Ste 104
Verona, NJ 07044
Phone (973) 239-0070

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679645261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 FRANKLIN AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091540",
            "telephone_number": "973-450-1003",
            "fax_number": "973-450-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 FRANKLIN AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091540",
            "telephone_number": "973-450-1003",
            "fax_number": "973-450-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANELLI",
        "first_name": "PAUL",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.C.D.A.C.N.B..",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NJ",
            "license": "MCO3344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.