DR. DAVID M. FANO (NPI# 1447348057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447348057 |
| Entity Type | Individual |
| Full Name | DR. DAVID M. FANO |
| Credential | D.C. |
| Practice Address |
74 Horseneck Rd Montville NJ 07045-9303 |
| Practice Telephone | 9732650700 |
| Mailing Telephone | 9732657000 |
| Mailing Fax Number | 9732650799 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | MC003891 | NJ | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 Changebridge Rd, Suite 104, Montville, NJ 070458947 | 9732650700 | 9732650799 |
| Street Address |
74 HORSENECK RD |
| City | MONTVILLE |
| State | NJ |
| Zip Code | 07045-9303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053353995 | Ernest John Aquilio | Family Medicine | 74 Horseneck Rd, Montville, NJ 07045-9303 | 2006-06-12 |
| 1144848136 | Amanda Julia Fano | Dietitian, Registered | 74 Horseneck Rd, Montville, NJ 07045-9303 | 2020-07-07 |
| 1942770623 | Community Support Services of Nj | Day Training, Developmentally Disabled Services | 74 Horseneck Rd, Montville, NJ 07045-9303 | 2018-11-26 |
| 1295127140 | Elaine Delrio-fano | Chiropractor | 74 Horseneck Rd, Montville, NJ 07045-9303 | 2015-03-02 |
| 1801062781 | Fit for Life Chiropractic Center | Chiropractor | 74 Horseneck Rd, Montville, NJ 07045-9303 | 2008-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780160655 | Jkf Consulting | Psychologist | 120 Ridge Dr, Montville, NJ 07045 | 2018-07-13 |
| 1215466651 | Raymond Scott Giordano | Home Health Aide | 150 River Road Suite F1, Montville, NJ 07045 | 2017-06-08 |
| 1275942732 | Falcon Medical Corp | Ambulance | 10 Joan Dr, Montville, NJ 07045 | 2014-08-10 |
| 1467875708 | Alyssa Puorro | Chiropractor | 20 Cambray Road, Montville, NJ 07045 | 2014-01-22 |
| 1376985085 | Peaceful Journey | Counselor | 328 Changebridge Road, Montville, NJ 07045 | 2013-07-23 |
| 1457639908 | Ellen Marie Ruban | Social Worker | 390 Main Rd., Montville, NJ 07045 | 2011-08-02 |
| 1215251228 | Hetal Sojitra | Physical Therapist | 115 Horseneck Rd Ste 5, Montville, NJ 07045 | 2010-03-19 |
| 1447452693 | Tara Ann Gieger | Dental Hygienist | 140 River Road, Suite J-2, Montville, NJ 07045 | 2007-06-01 |
| 1023219565 | Joyce Levine Stern | Social Worker | 170 Changebridge Road, Suite C2, Montville, NJ 07045 | 2007-05-31 |
| 1174683478 | Montville Pharmacy Nj Corp | Pharmacy | 185 Changebridge Road, Montville, NJ 07045 | 2006-12-10 |
| Find all providers in zip 07045 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588090 | Total Health Physical Medicine and Rehab Center | Chiropractor | 137 Main Rd Ste 100, Montville, NJ 07045-9231 | 2019-09-24 |
| 1467875708 | Alyssa Puorro | Chiropractor | 20 Cambray Road, Montville, NJ 07045 | 2014-01-22 |
| 1134329527 | Danielle Damelio Kelly | Chiropractor | 2 Changebridge Rd Unit F, Montville, NJ 07045-8947 | 2007-07-23 |
| 1073657417 | Kevin C Keyes | Chiropractor | 150 River Rd Ste C1, Montville, NJ 07045-8917 | 2007-02-19 |
| 1609961721 | Michael J. Duddy | Chiropractor | 115 Horseneck Rd, Montville, NJ 07045-9365 | 2006-10-04 |
| 1295127140 | Elaine Delrio-fano | Chiropractor | 74 Horseneck Rd, Montville, NJ 07045-9303 | 2015-03-02 |
| 1861740003 | Justin David Rabinowitz | Chiropractor | 2 Changebridge Rd, Montville, NJ 07045-8947 | 2012-08-20 |
| 1801062781 | Fit for Life Chiropractic Center | Chiropractor | 74 Horseneck Rd, Montville, NJ 07045-9303 | 2008-05-01 |
| 1124067426 | Michael Charles Iberer | Chiropractor | 170 Changebridge Rd, Unit B-1, Montville, NJ 07045-9115 | 2006-06-05 |
| 1710957808 | Montville Chiropractic | Chiropractor | 381 Main Rd, Montville, NJ 07045 | 2006-01-23 |
| Find all providers in MONTVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.