Active NPIIndividual providerSole proprietor

Dr. Michael J Fanizzo, DC

Chiropractor in Bloomfield, New Jersey

NPI Number1679773048
Practice location
245 Bloomfield Avenue, Bloomfield, NJ 07003
Fax
973-743-9299
Last updated
July 23, 2007

Michael John Fanizzo is a Chiropractor based in Bloomfield, NJ. Michael John Fanizzo practices in Bloomfield, NJ and has the professional credentials of DC. The NPI Number for Michael John Fanizzo is 1679773048 and holds a License No. 38MC00167600 (NJ). The current practice location address for Michael John Fanizzo is 245 Bloomfield Avenue, Bloomfield, NJ 07003 and can be reached out via phone at 973-743-8888 and via fax at 973-743-9299.

Provider Profile Details

NPI Number
1679773048
Provider Name
Michael John Fanizzo
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
245 Bloomfield Avenue, Bloomfield, NJ 07003
Phone Number
973-743-8888
Fax Number
973-743-9299
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 23, 2007
Last Update Date
July 23, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
245 Bloomfield Avenue
Bloomfield, NJ 07003
Zip
07003
Phone Number
973-743-8888
Fax Number
973-743-9299
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
235 Park Avenue
Bay Head, NJ 08742
City
Bay Head
State
NJ
Zip
08742
Phone Number
732-892-7272
Fax Number
973-743-9299

License Information

License Number
38MC00167600
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 Dr. Michael J Fanizzo, DC?

The NPI number of Dr. Michael J Fanizzo, DC is 1679773048. It was assigned on July 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael J Fanizzo, DC?

Dr. Michael J Fanizzo, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00167600.

Where does Dr. Michael J Fanizzo, DC practice?

The practice location is 245 Bloomfield Avenue, Bloomfield, NJ 07003. The office can be reached at 973-743-8888 (phone) or 973-743-9299 (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 1679773048 directly on the NPPES registry website.

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