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ROBERT F FENNIMORE DC
NPI 1235736992
Chiropractor in Bloomfield, NJ

Active since October 06, 2020Accepts Medicare Assignment
1455 BROAD ST STE 250, BLOOMFIELD, NJ 07003(732) 852-7420 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2025, Jan 10, 2025, Jul 27, 2022 and 1 more (4 updates tracked since 2020).

About Robert F Fennimore Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT F FENNIMORE DC (NPI 1235736992) is an individual chiropractor in Bloomfield, New Jersey, licensed in New Jersey (38MC00774200) and active in the NPI registry since October 2020. He is a graduate of New York Chiropractic College (2020).

NPPES Registry Identity

NPI1235736992
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameROBERT F FENNIMORECredential: DC
Location Address1455 BROAD ST STE 250Bloomfield, NJ 07003-3066
Mailing Address1455 Broad St Ste 250Bloomfield, NJ 07003-3066 · (877) 532-7837
Phone(732) 852-7420
Sole ProprietorNo
Medical School CMSNew York Chiropractic CollegeGraduated 2020
Enumeration DateOctober 6, 2020
Last NPPES UpdateMarch 13, 20254 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
✔ NPI 1235736992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NJ · 38MC00774200
Definition
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.
1455 BROAD ST STE 250, Bloomfield, NJ 07003
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert F Fennimore Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729492988
PECOS Enrollment IDI20210128002775

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
67 services27 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB R SCHUCK PT
Physical Therapist
1455 BROAD ST STE 250
BLOOMFIELD, NJ 07003
Essex County (732) 719-7168
DR. BRANDON EMILIO OZBALIK DC
Chiropractor
1455 BROAD ST STE 250
BLOOMFIELD, NJ 07003
Essex County (877) 532-7837
MR. KENNETH RICHARD MARSAGLIA II
Specialist/Technologist (Athletic Trainer)
1455 BROAD ST STE 250
BLOOMFIELD, NJ 07003
Essex County (877) 532-7837
ABHISHEK PATEL OTR/L
Occupational Therapist
1455 BROAD ST STE 250
BLOOMFIELD, NJ 07003
Essex County (877) 532-7837
JOANNA MARIE POTTER
Specialist/Technologist (Athletic Trainer)
1455 BROAD ST STE 250
BLOOMFIELD, NJ 07003
Essex County (877) 532-7837
GINO CHIAPPETTA M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1455 BROAD ST STE 250
BLOOMFIELD, NJ 07003
Essex County (877) 532-7837
DR. SHALIN PATEL M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1455 BROAD ST STE 250
BLOOMFIELD, NJ 07003
Essex County (877) 532-7837
AUDREY ALICIA GORDEUK PHYSICIAN ASSISTANT
Physician Assistant
1455 BROAD ST STE 250
BLOOMFIELD, NJ 07003
Essex County (877) 532-7837

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Fennimore's NPI number?

The NPI number for Robert Fennimore is 1235736992. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Where is Robert Fennimore located?

Robert Fennimore practices at 1455 Broad St Ste 250, Bloomfield, NJ 07003. The listed phone number is (732) 852-7420.

What is Robert Fennimore's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Robert Fennimore enrolled in Medicare?

Yes. Robert Fennimore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Robert Fennimore was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.