Individual provider Active NPI

Nicholas Gene Tagliaferro, DC

  • Rehabilitation Chiropractor
  • Columbus, OH
National Provider Identifier
1841778677
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC-04779 Issued in OH
Practice address
1301 W Lane Ave
Columbus, OH 43221-3514
Phone
(614) 486-3950
Fax
(614) 486-3960
NPI assigned
Aug 3, 2018
Last updated
Aug 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X DC-04779 OH Primary

Addresses

Primary practice location

1301 W Lane Ave
Columbus, OH 43221-3514

Mailing address

1301 W Lane Ave
Columbus, OH 43221-3514
Phone (614) 486-3950

Other practice location 1

1301 W Lane Ave
Columbus, OH 43221-3514
Phone (614) 486-3950

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181106000498 NJ Practitioner - Chiropractic 1355694522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

556 Egg Harbor Rd
Suite a
Sewell, NJ 08080-2326
Phone (856) 295-0366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-04779OHMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Health Chiropractic and Sports Injury CurrentSince Aug 15, 2025 Accepting new patients

Locations

556 Egg Harbor Rd
Ste A
Sewell, NJ 08080
Phone (856) 286-2000

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1841778677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W LANE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213514",
            "telephone_number": "614-486-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W LANE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213514",
            "telephone_number": "614-486-3950",
            "fax_number": "614-486-3960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 W Lane Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432213514",
            "country_code": "US",
            "telephone_number": "614-486-3950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAGLIAFERRO",
        "first_name": "NICHOLAS",
        "middle_name": "GENE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OH",
            "license": "DC-04779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.