DR. MICHAEL JOHN FANIZZO (NPI# 1679773048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679773048 |
Entity Type | Individual |
Full Name | DR. MICHAEL JOHN FANIZZO |
Credential | D.C. |
Practice Address |
245 Bloomfield Avenue Bloomfield NJ 07003 |
Mailing Address |
235 Park Avenue Bay Head NJ 08742 |
Practice Telephone | 9737438888 |
Practice Fax Number | 9737439299 |
Mailing Telephone | 7328927272 |
Mailing Fax Number | 9737439299 |
Enumeration Date | 2007-07-23 |
Last Update Date | 2007-07-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 38MC00167600 | NJ | Chiropractic Providers |
Street Address |
245 BLOOMFIELD AVENUE |
City | BLOOMFIELD |
State | NJ |
Zip Code | 07003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316560501 | Delores Heart,llc | Respite Care | Delores Heart, 17 Dodd St. Ste A5, Bloomfield, NJ 07003 | 2020-05-21 |
1235798505 | Tina Rivera | Physical Therapy Assistant | A Team Approach, Pt 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2019-06-11 |
1144709239 | Jennifer Stuart | Social Worker | 27 Park Place, Apt. 13, Bloomfield, NJ 07003 | 2018-08-09 |
1992212179 | Kristina Camille P Manapat | Student in an Organized Health Care Education/Training Program | 1690 Broad St., Bloomfield, NJ 07003 | 2018-01-09 |
1760993224 | Vivian Arroyo | Counselor | 76 Baldwin Pl, Bloomfield, NJ 07003 | 2017-10-23 |
1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
1578091872 | Janice M. Steel | Physical Therapy Assistant | 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2017-05-31 |
Find all providers in zip 07003 |
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 |
---|---|---|---|---|
1457709446 | Ascend Spine Center, LLC | Chiropractor | 329 Belleville Ave, 2nd Floor, Bloomfield, NJ 07003 | 2016-05-31 |
1568730372 | Burton Chiropractic Clinic | Chiropractor | 505 S. Franklin St, Bloomfield, IN 47424-0424 | 2011-12-07 |
1699908616 | De Andrade Family Chiropractic | Chiropractor | 1015 Broad St, Bloomfield, NJ 07003-2844 | 2009-08-25 |
1518161835 | John Joseph Florio | Chiropractor | 283 Franklin St, Bloomfield, NJ 07003-4822 | 2007-06-12 |
1396886669 | Advanced Chiropractic Institute, L.L.C. | Chiropractor | 170 Broad St, Bloomfield, NJ 07003-2606 | 2007-02-09 |
1265580641 | Emilio Anthony Grugnale | Chiropractor | 72 Burroughs Pl, Bloomfield, NJ 07003-3463 | 2007-01-08 |
1144387119 | Donald M Castellaro | Chiropractor | 1145 Broad St, Bloomfield, NJ 07003-2951 | 2007-01-02 |
1134281330 | Robert Rosania Jr. | Chiropractor | 16 Watsessing Ave, Bloomfield, NJ 07003 | 2006-12-14 |
1073686291 | Vincent Giro Caruso | Chiropractor | 27 West St, Suite 2f, Bloomfield, NJ 07003-4938 | 2006-11-16 |
1699854380 | Carol M Mahoney | Chiropractor | 108 S Broadway St, Suite B, Bloomfield, NE 68718-4400 | 2006-11-03 |
Find all providers in BLOOMFIELD |
City | BLOOMFIELD |
Zip Code | 07003 |
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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.