Organization Active NPI

Branford Chiropractic Center

  • Chiropractor
  • Newark, NJ
National Provider Identifier
1831221084
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC04415 Issued in NJ
Legal business name
BRANFORD CHIROPRACTIC CENTER
Practice address
20-24 Branford PL
Suite 805
Newark, NJ 07102-2786
Phone
(973) 643-3234
Fax
(973) 643-5428
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Funiciello, DCNPI 1245362474
Title
President
Phone
(973) 643-3234

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 MC04415 NJ Primary

Addresses

Primary practice location

20-24 Branford PL
Suite 805
Newark, NJ 07102-2786

Mailing address

20-24 Branford PL
Suite 805
Newark, NJ 07102-2786
Phone (973) 643-3234

National Provider Directory

National Provider Directory

Locations

20-24 Branford Pl
Ste 805
Newark, NJ 07102
Phone (973) 643-3234

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": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831221084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20-24 BRANFORD PL",
            "address_2": "SUITE 805",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022786",
            "telephone_number": "973-643-3234",
            "fax_number": "973-643-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20-24 BRANFORD PL",
            "address_2": "SUITE 805",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022786",
            "telephone_number": "973-643-3234",
            "fax_number": "973-643-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANFORD CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUNICIELLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-643-3234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.