Defabio Spine and Sports Rehab, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

38MC0282000 Issued in NJ

Legal business name

DEFABIO SPINE AND SPORTS REHAB, LLC

Practice address

308 Springfield Ave
Berkeley Heights, NJ 07922-1278

Phone

(908) 771-0220

NPI assigned

Oct 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Donald C De Fabio, DCNPI 1538175716

Title

Owner

Phone

(908) 771-0220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Donald C Defabio, DC

  • Orthopedic Chiropractor
  • Berkeley Heights, NJ
  • NPI 1538175716
  Medicare reassignment Care Compare group NPD Authorized official
• Christopher Joseph Defabio, DC

  • Chiropractor
  • Chicago, IL
  • NPI 1750935268

  NJ

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1851675086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SPRINGFIELD AVE",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221278",
            "telephone_number": "908-771-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 SPRINGFIELD AVE",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221278",
            "telephone_number": "908-771-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFABIO SPINE AND SPORTS REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "DE FABIO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-771-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NJ",
            "license": "38MC0282000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gazala Dave, MD
• Margarita Maria Day
• John Joseph De Trolio, MD
• Stephanie Dean-Zichichi, MA CCC-SLP
• Raekeisha Dean, P.A.
• Donald C Defabio, DC
• Ruth E. Deitz, M.D.
• Jacklyn Penny Delvecchio, AU.D.
• Lindsay Catherine Demasi, PA-C
• Lois A. Denmark, C.A. (NJ), L.AC.(NY)

• Multi-Specialty Clinic/Center in Berkeley Heights, NJ
• Providers in Berkeley Heights, NJ by specialty
• Multi-Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.