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DR. MICHAEL JOHN FANIZZO D.C.
NPI 1679773048
Chiropractor in Bloomfield, NJ

Active since July 23, 2007
245 BLOOMFIELD AVENUE, BLOOMFIELD, NJ 07003(973) 743-8888(973) 743-9299 Get Directions Write a Review

NPPES record last updated: July 23, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael John Fanizzo D.c. NPPES

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

DR. MICHAEL JOHN FANIZZO D.C. (NPI 1679773048) is an individual chiropractor in Bloomfield, New Jersey, licensed in New Jersey (38MC00167600) and active in the NPI registry since July 2007. He is a graduate of New York Chiropractic College (1977).

NPPES Registry Identity

NPI1679773048
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MICHAEL JOHN FANIZZOCredential: D.C.
Location Address245 BLOOMFIELD AVENUEBloomfield, NJ 07003
Mailing Address235 Park AvenueBay Head, NJ 08742 · (732) 892-7272 · Fax (973) 743-9299
Phone(973) 743-8888
Fax(973) 743-9299
Sole ProprietorYes
Medical School CMSNew York Chiropractic CollegeGraduated 1977
Enumeration DateJuly 23, 2007
✔ NPI 1679773048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NJ · 38MC00167600
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.
245 BLOOMFIELD AVENUE, Bloomfield, NJ 07003
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Other Identifiers 1

Medicare PIN450433NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael John Fanizzo D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901067107
PECOS Enrollment IDI20120416000480

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 Michael Fanizzo's NPI number?

The NPI number for Michael Fanizzo is 1679773048. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Where is Michael Fanizzo located?

Michael Fanizzo practices at 245 Bloomfield Avenue, Bloomfield, NJ 07003. The listed phone number is (973) 743-8888.

What is Michael Fanizzo's specialty?

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

Is Michael Fanizzo enrolled in Medicare?

Yes. Michael Fanizzo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Fanizzo was last updated on July 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.