Active NPIIndividual providerSole proprietor

Mr. Domenic Fontanarosa, DC

Chiropractor in Hawthorne, New Jersey

NPI Number1619903234
Practice location
274 Lafayette Avenue, Hawthorne, NJ 07506
Fax
973-423-0403
Last updated
December 18, 2024

Domenic Fontanarosa is a Chiropractor based in Hawthorne, NJ. Domenic Fontanarosa practices in Hawthorne, NJ and has the professional credentials of DC. The NPI Number for Domenic Fontanarosa is 1619903234 and holds a License No. 38MC00443500 (NJ). The current practice location address for Domenic Fontanarosa is 274 Lafayette Avenue, Hawthorne, NJ 07506 and can be reached out via phone at 973-423-9600 and via fax at 973-423-0403.

Provider Profile Details

NPI Number
1619903234
Provider Name
Domenic Fontanarosa
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
274 Lafayette Avenue, Hawthorne, NJ 07506
Phone Number
973-423-9600
Fax Number
973-423-0403
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 24, 2006
Last Update Date
December 18, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
274 Lafayette Avenue
Hawthorne, NJ 07506
Zip
07506
Phone Number
973-423-9600
Fax Number
973-423-0403
Hawthorne, NJ 07506Get directions →

Provider Business Mailing Address Details

Address
274 Lafayette Ave
Hawthorne, NJ 07506
City
Hawthorne
State
NJ
Zip
07506
Phone Number
973-423-9600
Fax Number
973-423-0403

License Information

License Number (1)
38MC00443500
License State (1)
NJ
Taxonomy (1)
Chiropractor · 111N00000X
License Number (2)
4435
License State (2)
NJ
Taxonomy (2)
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 Mr. Domenic Fontanarosa, DC?

The NPI number of Mr. Domenic Fontanarosa, DC is 1619903234. It was assigned on June 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Domenic Fontanarosa, DC?

Mr. Domenic Fontanarosa, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00443500.

Where does Mr. Domenic Fontanarosa, DC practice?

The practice location is 274 Lafayette Avenue, Hawthorne, NJ 07506. The office can be reached at 973-423-9600 (phone) or 973-423-0403 (fax).

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 1619903234 directly on the NPPES registry website.

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