Organization Active NPI

Fitzgerald Chiropractic Center PC

  • Chiropractor
  • Totowa, NJ
National Provider Identifier
1720145295
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00253600 Issued in NJ
Legal business name
FITZGERALD CHIROPRACTIC CENTER PC
Practice address
342 Union Blvd
Totowa, NJ 07512-2554
Phone
(973) 790-3181
Fax
(973) 790-0672
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Authorized official

Name
Dr. Michael W Fitzgerald, DC
Title
Owner
Phone
(973) 790-3181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00253600 NJ Primary

Addresses

Primary practice location

342 Union Blvd
Totowa, NJ 07512-2554

Mailing address

342 Union Blvd
Totowa, NJ 07512-2554
Phone (973) 790-3181

Other identifiers 1

IdentifierTypeStateIssuer
MC253600OtherNJLICENSE NO.

National Provider Directory

National Provider Directory

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1720145295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122554",
            "telephone_number": "973-790-3181",
            "fax_number": "973-790-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122554",
            "telephone_number": "973-790-3181",
            "fax_number": "973-790-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITZGERALD CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-790-3181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00253600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO.",
            "identifier": "MC253600",
            "state": "NJ"
        }
    ],
    "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 Aug 5, 2011; 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.