Active NPI
Robert J. Haley, D.C.
- Sports Physician Chiropractor
- Lyndhurst, NJ
National Provider Identifier
1861475485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- MC04516
- Practice address
- 528 Valley Brook Ave
Lyndhurst, NJ 07071-1930 - Phone
- (201) 531-9400
- Fax
- (201) 531-9530
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | MC04516 | NJ | Primary |
Addresses
Primary practice location
528 Valley Brook Ave
Lyndhurst, NJ 07071-1930
Mailing address
528 Valley Brook Ave
Lyndhurst, NJ 07071-1930
Phone (201) 531-9400
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6280609 | Medicaid | NJ | |
| 938-734 | Other | PHS ID | |
| UNITED HEALTHCARE | Other | 1336065 | |
| P 663701 | Other | OXFORD ID | |
| 766362 | Other | AMERIHEALTH ID | |
| 6589432 | Other | CIGNA ID | |
| X8B071 | Other | WELCHOICE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080808000438 | NJ | Practitioner - Chiropractic | 0648344697 | Practice locations: Lyndhurst, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
528 Valley Brook Ave
Lyndhurst, NJ 07071-1930
Phone (201) 531-9400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC04516 | NJ | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1861475485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 VALLEY BROOK AVE",
"city": "LYNDHURST",
"state": "NJ",
"postal_code": "070711930",
"telephone_number": "201-531-9400",
"fax_number": "201-531-9530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 VALLEY BROOK AVE",
"city": "LYNDHURST",
"state": "NJ",
"postal_code": "070711930",
"telephone_number": "201-531-9400",
"fax_number": "201-531-9530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "ROBERT",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NJ",
"license": "MC04516",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6280609",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS ID",
"identifier": "938-734",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1336065",
"identifier": "UNITED HEALTHCARE",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD ID",
"identifier": "P 663701",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH ID",
"identifier": "766362",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ID",
"identifier": "6589432",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELCHOICE ID",
"identifier": "X8B071",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lyndhurst, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.