Individual provider Active NPI

Josafin Picarelli, DC

  • Chiropractor
  • Woodland Park, NJ
National Provider Identifier
1922081660
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MCO3420 Issued in NJ
Practice address
1046 McBride Ave
Woodland Park, NJ 07424-2508
Phone
(973) 890-0011
Fax
(972) 890-7505
NPI assigned
Nov 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MCO3420 NJ Primary

Addresses

Primary practice location

1046 McBride Ave
Woodland Park, NJ 07424-2508

Mailing address

PO Box 526
West Paterson, NJ 07424-0526
Phone (973) 890-0011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080804000227 NJ Practitioner - Chiropractic 3678647096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Boro ChiropracticGroup PAC ID 7315011731, 2 clinicians

Practice addresses (Care Compare)

PO Box
Suite 526
West Paterson, NJ 07424-0526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MCO3420NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Boro Chiropractic Chiropractor CurrentSince May 1, 2008 Accepting new patients

Locations

1046 McBride Ave
Woodland Park, NJ 07424
Phone (973) 890-0011

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1922081660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 526",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "074240526",
            "telephone_number": "973-890-0011",
            "fax_number": "973-890-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 MCBRIDE AVE",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242508",
            "telephone_number": "973-890-0011",
            "fax_number": "972-890-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICARELLI",
        "first_name": "JOSAFIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MCO3420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.