Active NPI
Christopher T Fischer
- Chiropractor
- Dumont, NJ
National Provider Identifier
1962540393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC000514200
- Practice address
- 158 Washington Ave
Dumont, NJ 07628-2305 - Phone
- (201) 244-8908
- Fax
- (201) 244-8907
- NPI assigned
- Feb 1, 2007
- Last updated
- Jul 13, 2020
- 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 | 38MC000514200 | NJ | Primary |
Addresses
Primary practice location
158 Washington Ave
Dumont, NJ 07628-2305
Mailing address
223 S Washington Ave
Bergenfield, NJ 07621-2919
Phone (201) 244-8908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205013094 | Other | NJ | TAX 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 |
|---|---|---|---|---|
| I20070928000034 | NJ | Practitioner - Chiropractic | 8820183312 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC000514200 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Senior Medical Supply | Current | Accepting new patients |
Locations
223 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 244-8908
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Bergenfield, NJ
- NPI 1851919914
-
- Chiropractor
- Dumont, NJ
- NPI 1861685612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594598400000",
"number": "1962540393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 S WASHINGTON AVE",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076212919",
"telephone_number": "201-244-8908",
"fax_number": "201-244-8907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 WASHINGTON AVE",
"city": "DUMONT",
"state": "NJ",
"postal_code": "076282305",
"telephone_number": "201-244-8908",
"fax_number": "201-244-8907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "CHRISTOPHER",
"middle_name": "T",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC000514200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "205013094",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dumont, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.