Active NPIIndividual provider

Robert F Fennimore, DC

Chiropractor in Bloomfield, New Jersey

NPI Number1235736992
Practice location
1455 Broad St Ste 250, Bloomfield, NJ 07003-3066
Fax
—
Last updated
March 13, 2025

Robert F Fennimore is a Chiropractor based in Bloomfield, NJ. Robert F Fennimore practices in Bloomfield, NJ and has the professional credentials of DC. The NPI Number for Robert F Fennimore is 1235736992 and holds a License No. 38MC00774200 (NJ). The current practice location address for Robert F Fennimore is 1455 Broad St Ste 250, Bloomfield, NJ 07003-3066 and can be reached out via phone at 732-852-7420.

Provider Profile Details

NPI Number
1235736992
Provider Name
Robert F Fennimore
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1455 Broad St Ste 250, Bloomfield, NJ 07003-3066
Phone Number
732-852-7420
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
No
Provider Enumeration Date
October 6, 2020
Last Update Date
March 13, 2025
Certification Date
March 13, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
Zip
07003-3066
Phone Number
732-852-7420
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
City
Bloomfield
State
NJ
Zip
07003-3066
Phone Number
877-532-7837

License Information

License Number
38MC00774200
License State
NJ
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Robert F Fennimore, DC?

The NPI number of Robert F Fennimore, DC is 1235736992. It was assigned on October 6, 2020 and is currently active in the NPPES registry.

What is the specialty of Robert F Fennimore, DC?

Robert F Fennimore, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00774200.

Where does Robert F Fennimore, DC practice?

The practice location is 1455 Broad St Ste 250, Bloomfield, NJ 07003-3066. The office can be reached at 732-852-7420 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235736992 directly on the NPPES registry website.

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