Active NPIIndividual providerSole proprietor

Mr. Kenneth Fessler, DC

Orthotic Fitter in Lincoln Park, New Jersey

NPI Number1801180740
Practice location
63 Beaverbrook RD, Suite 103, Lincoln Park, NJ 07035-1440
Fax
973-305-8818
Last updated
February 11, 2024

Kenneth Fessler is an Orthotic Fitter based in Lincoln Park, NJ. Kenneth Fessler practices in Lincoln Park, NJ and has the professional credentials of DC. The NPI Number for Kenneth Fessler is 1801180740 and holds a License No. mc03636 (NJ). The current practice location address for Kenneth Fessler is 63 Beaverbrook RD, Suite 103, Lincoln Park, NJ 07035-1440 and can be reached out via phone at 973-305-8830 and via fax at 973-305-8818.

Provider Profile Details

NPI Number
1801180740
Provider Name
Kenneth Fessler
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
63 Beaverbrook RD, Suite 103, Lincoln Park, NJ 07035-1440
Phone Number
973-305-8830
Fax Number
973-305-8818
Primary Taxonomy
Orthotic Fitter · 225000000X
Sole Proprietor
Yes
Provider Enumeration Date
June 8, 2011
Last Update Date
February 11, 2024
Certification Date
February 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 Beaverbrook RD
Suite 103
Lincoln Park, NJ 07035-1440
Zip
07035-1440
Phone Number
973-305-8830
Fax Number
973-305-8818
Lincoln Park, NJ 07035Get directions →

Provider Business Mailing Address Details

Address
189 Stanhope RD
Sparta, NJ 07871-2706
City
Sparta
State
NJ
Zip
07871-2706
Phone Number
973-405-3872

License Information

License Number (1)
mc03636
License State (1)
NJ
Taxonomy (1)
Chiropractor · 111N00000X
License Number (2)
C53544
License State (2)
NJ
Taxonomy (2)
Orthotic Fitter · 225000000X · 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. Kenneth Fessler, DC?

The NPI number of Mr. Kenneth Fessler, DC is 1801180740. It was assigned on June 8, 2011 and is currently active in the NPPES registry.

What is the specialty of Mr. Kenneth Fessler, DC?

Mr. Kenneth Fessler, DC is registered under the primary taxonomy Orthotic Fitter (code 225000000X), licensed in NJ under license number mc03636.

Where does Mr. Kenneth Fessler, DC practice?

The practice location is 63 Beaverbrook RD, Suite 103, Lincoln Park, NJ 07035-1440. The office can be reached at 973-305-8830 (phone) or 973-305-8818 (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 1801180740 directly on the NPPES registry website.

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