Fit for Life Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00389100 Issued in NJ

Legal business name

FIT FOR LIFE CHIROPRACTIC CENTER

Practice address

74 Horseneck Rd
Montville, NJ 07045-9303

Phone

(973) 265-0700

Fax

(973) 265-0799

NPI assigned

May 1, 2008

Organization subpart

No

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

Authorized official

Name

Mr. David M Fano, DCNPI 1447348057

Title

Owner/Chiropractor

Phone

(973) 265-0700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David M. Fano, D.C.

  • Chiropractor
  • Montville, NJ
  • NPI 1447348057
  Medicare reassignment Authorized official
• Elaine Delrio-Fano, DC

  • Chiropractor
  • Montville, NJ
  • NPI 1295127140
  NPD
• Michael J. Duddy, D.C.

  • Chiropractor
  • Montville, NJ
  • NPI 1609961721
  NPD (past)

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1801062781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 HORSENECK RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459303",
            "telephone_number": "973-265-0700",
            "fax_number": "973-265-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 HORSENECK RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459303",
            "telephone_number": "973-265-0700",
            "fax_number": "973-265-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT FOR LIFE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "FANO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "973-265-0700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00389100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ferreiro, DPT
• Fields Cosmetic & Family Dentistry, LLC
• David Eric Fields, DMD
• Jacqueline Filion, D.O.
• Kaitlyn Marie Fink, PT, DPT
• Functional Performance Institute PC
• Donna Marie Galarza, C.N.
• Alpana D. Gandhi, M.D.
• Generation Pharmacy Group, LLC
• Ted Michael Gerszberg, M.D.

• Chiropractor in Montville, NJ
• Providers in Montville, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.