HIGH CREST FUNCTIONAL MEDICINE, LLC (NPI# 1891946364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891946364 |
| Entity Type | Organization |
| Organization Name | HIGH CREST FUNCTIONAL MEDICINE, LLC |
| Practice Address |
50 Fairfield Rd Fairfield NJ 07004-2414 |
| Practice Telephone | 9738085550 |
| Practice Fax Number | 9738085999 |
| Mailing Telephone | 9738085550 |
| Mailing Fax Number | 9738085999 |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |
| Authorized Official Name | NEAL BOSE (PARTNER) |
| Authorized Official Telephone | 9738085550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 25MB03782400 | NJ | Chiropractic Providers |
| Street Address |
50 FAIRFIELD RD |
| City | FAIRFIELD |
| State | NJ |
| Zip Code | 07004-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740397785 | Edward Catalano | Chiropractor | 50 Fairfield Rd, Fairfield, NJ 07004-2401 | 2006-08-24 |
| 1427397629 | Greene Gynecologic Consultants Professional Association | Specialist | 50 Fairfield Rd, Fairfield, NJ 07004-2414 | 2013-02-07 |
| 1407107873 | Stephanie Bednarski Dpt | Physical Therapist | 50 Fairfield Rd, Fairfield, NJ 07004-2414 | 2012-09-26 |
| 1811214943 | Cecilia V. Reyes | Nurse Practitioner | 50 Fairfield Rd, Fairfield, NJ 07004-2414 | 2010-04-29 |
| 1700100211 | Immunogen Diagnostics, LLC | Clinical Medical Laboratory | 50 Fairfield Rd, Fairfield, NJ 07004-2414 | 2010-03-26 |
| 1033444021 | High Crest Medical, LLC | Internal Medicine | 50 Fairfield Rd, Fairfield, NJ 07004-2414 | 2009-10-08 |
| 1376713073 | High Crest Integrative Medicine, LLC | Chiropractor | 50 Fairfield Rd, Fairfield, NJ 07004-2414 | 2008-03-10 |
| 1568649531 | Edward Catalano, Dc, LLC | Chiropractor | 50 Fairfield Rd, Fairfield, NJ 07004-2414 | 2008-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543695 | Dr. Mae J. Balaban & Associates LLC | Psychologist | 333 A U.S. Highway 46 W Ste 260, Fairfield, NJ 07004 | 2019-11-18 |
| 1477103547 | Kdds Too, Inc. | Community/Behavioral Health | 28 Dwight Place, Fairfield, NJ 07004 | 2019-09-19 |
| 1912487711 | Vela Diagnostics Usa Inc | Clinical Medical Laboratory | 353c Us Route 46, Suite 250, Fairfield, NJ 07004 | 2018-08-21 |
| 1285111864 | Advance Home Physical Therapy LLC | Physical Therapist | 9 Belair Dr, Fairfield, NJ 07004 | 2018-07-25 |
| 1063808962 | Homecare Rx Inc. | Pharmacy | 695 Us Hwy. 46, Ste. 100, Fairfield, NJ 07004 | 2015-04-08 |
| 1336544832 | Villo' Fiddler | Pharmacist | 632 Rt. 46 East, Fairfield, NJ 07004 | 2014-10-27 |
| 1093133746 | Simone Alicia Douge | Family Medicine | 700 Route 46 E Ste 450, Fairfield, NJ 07004 | 2014-03-31 |
| 1386905529 | Med Life LLC | Ambulance | 295 Route 46 West, Suite 201, Fairfield, NJ 07004 | 2012-06-05 |
| 1164792453 | Daniel Seth Greenbaum | Dentist | 592 Us Highway 46, Fairfield, NJ 07004 | 2012-01-04 |
| 1447529425 | Yelena Daysudov | Pharmacist | 180 Passaic Avenue, Fairfield, NJ 07004 | 2011-12-21 |
| Find all providers in zip 07004 | ||||
| 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 |
|---|---|---|---|---|
| 1134758725 | Tanner Ruberg | Chiropractor | 6101 Monastery Dr, Fairfield, OH 45014-4461 | 2020-04-06 |
| 1386116440 | John Boamah Jr. | Chiropractor | 1838 Black Rock Tpke Ste 2a, Fairfield, CT 06825-3501 | 2018-12-28 |
| 1750851804 | Virginia Applied Kinesiology LLC | Chiropractor | 206 E Burlington Ave, Fairfield, IA 52556-3117 | 2018-12-03 |
| 1881133304 | Andrew Nicholas Crape | Chiropractor | 1100 Kings Hwy E Ste 1c, Fairfield, CT 06825-5400 | 2017-02-16 |
| 1053859736 | Molloy Chiropractic LLC | Chiropractor | 264 Fairchild Ave, Fairfield, CT 06825-4872 | 2017-02-02 |
| 1437694411 | Vegacorp PC | Chiropractor | 2094 185th St., Suite 40, Fairfield, IA 52556-8758 | 2016-12-29 |
| 1114471315 | West Essex Chiropractic | Chiropractor | 54 Carlos Dr, Fairfield, NJ 07004-2117 | 2016-08-05 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1245647452 | Christopher Skelton | Chiropractor | 27 Halley Ct, Fairfield, CT 06825-5557 | 2014-07-20 |
| 1326464082 | Advanced Healthcare Clinic LLC | Chiropractor | 5 Williamson Dr Ste 300, Fairfield, IL 62837-2370 | 2014-03-05 |
| Find all providers in FAIRFIELD | ||||
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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.