Individual provider Active NPI

Feodor A Sakatch, D.C.

  • Chiropractor
  • Cliffside Park, NJ
National Provider Identifier
1912086398
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00615800 Issued in NJ
Practice address
596 Anderson Ave
Suite 104
Cliffside Park, NJ 07010-1831
Phone
(201) 941-8008
Fax
(201) 941-3880
NPI assigned
Nov 4, 2006
Last updated
Oct 3, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00615800 NJ Primary

Addresses

Primary practice location

596 Anderson Ave
Suite 104
Cliffside Park, NJ 07010-1831

Mailing address

PO Box 2047
Cliffside Park, NJ 07010-6047
Phone (201) 674-3153

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050429000562 NJ Practitioner - Chiropractic 3173562410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Family Chiropractic, P.C.Group PAC ID 0648219980, 3 clinicians

Practice addresses (Care Compare)

596 Anderson Ave
Suite 104
Cliffside Park, NJ 07010-1888
Phone (201) 941-8008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Family Chiropractic, P.C. CurrentSince Jul 7, 2004 Accepting new patients

Locations

596 Anderson Ave
Ste 104
Cliffside Pk, NJ 07010
Phone (201) 941-8008

108 Woodward Rd
Manalapan, NJ 07726
Phone (201) 421-9319

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.

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1912086398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2047",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070106047",
            "telephone_number": "201-674-3153",
            "fax_number": "201-941-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 ANDERSON AVE",
            "address_2": "SUITE 104",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101831",
            "telephone_number": "201-941-8008",
            "fax_number": "201-941-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKATCH",
        "first_name": "FEODOR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00615800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.