Active NPI
David A. Depaolis, D.C.
- Chiropractor
- Newark, NJ
National Provider Identifier
1962610154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00458900
- Practice address
- 266-268 Van Buren St
Newark, NJ 07105-2592 - Phone
- (862) 237-7847
- Fax
- (862) 237-7850
- NPI assigned
- May 19, 2007
- 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 | 38MC00458900 | NJ | Primary |
Addresses
Primary practice location
266-268 Van Buren St
Newark, NJ 07105-2592
Mailing address
82 N Finley Ave
Basking Ridge, NJ 07920-1145
Phone (908) 630-0909
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 |
|---|---|---|---|
| 38MC00458900 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Van Buren Chiropractic and Rehabilitation Center, LLC | 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 and National Provider Directory roles.
-
- Chiropractor
- Newark, NJ
- NPI 1093957615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1962610154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 N FINLEY AVE",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079201145",
"telephone_number": "908-630-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266-268 VAN BUREN ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071052592",
"telephone_number": "862-237-7847",
"fax_number": "862-237-7850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPAOLIS",
"first_name": "DAVID",
"middle_name": "A.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-19",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00458900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.