Active NPI
Charles M Paolini, DC
- Chiropractor
- Mahwah, NJ
National Provider Identifier
1881684835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00120100
- Practice address
- 62 Seminary Drive
Mahwah, NJ 07430 - Phone
- (201) 818-0991
- Fax
- (201) 818-0994
- NPI assigned
- Oct 21, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00120100 | NJ | Primary |
Addresses
Primary practice location
62 Seminary Drive
Mahwah, NJ 07430
Mailing address
62 Seminary Drive
Mahwah, NJ 07430
Phone (201) 818-0991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P413689 | Other | NJ | OXFORD INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00120100 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bergen County Family Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Chiropractor
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- NPI 1508812090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881684835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 SEMINARY DRIVE",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "07430",
"telephone_number": "201-818-0991",
"fax_number": "201-818-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 SEMINARY DRIVE",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "07430",
"telephone_number": "201-818-0991",
"fax_number": "201-818-0994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAOLINI",
"first_name": "CHARLES",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00120100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD INSURANCE",
"identifier": "P413689",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mahwah, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.