Active NPI
Nicolas Serna, CHIROPRACTOR
- Rehabilitation Chiropractor
- Denville, NJ
National Provider Identifier
1972171353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 38MC00783500
- Practice address
- 26 Bloomfield Ave
Denville, NJ 07834-2771 - Phone
- (862) 205-4847
- Fax
- (973) 201-1192
- NPI assigned
- Jun 14, 2021
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 38MC00783500 | NJ | Primary |
Addresses
Primary practice location
26 Bloomfield Ave
Denville, NJ 07834-2771
Mailing address
26 Bloomfield Ave
Denville, NJ 07834-2771
Phone (862) 205-4847
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38MC00783500 | Other | NJ | OUT OF NETWORK CHIROPRACTIC |
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 |
|---|---|---|---|
| 38MC00783500 | NJ | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1972171353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 BLOOMFIELD AVE",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078342771",
"telephone_number": "862-205-4847",
"fax_number": "973-201-1192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 BLOOMFIELD AVE",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078342771",
"telephone_number": "862-205-4847",
"fax_number": "973-201-1192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERNA",
"first_name": "NICOLAS",
"name_prefix": "Dr.",
"credential": "CHIROPRACTOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-14",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "NJ",
"license": "38MC00783500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OUT OF NETWORK CHIROPRACTIC",
"identifier": "38MC00783500",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.