Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1417162553 Deactivated / Inactive NPI Male Practitioner

Dr. James Joseph Doherty , DC

Chiropractor • Fort Lee, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. James Doherty has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 11, 2007
NPI Deactivation Date April 18, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. James Doherty, DC was a registered Chiropractor practicing in Fort Lee, NJ. Throughout an active medical career spanning 10 years, Dr. Doherty provided care at the practice location at 1625 ANDERSON AVE until profile deactivation on 2017-04-18.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1625 Anderson Ave

Fort Lee, NJ 070242748

Telephone 2012240024
Associated Practice Facility / Clinic
🏢 Philip Krevitt Dmd Pa Facility NPI 1336297092

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Fort Lee, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
24 Specialists

Practicing in Fort Lee, NJ (3049 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
30.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
72 16 $60.00 $41.88

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License NJ 38MC00123600

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Dr. Richard Gallo , MD

Internal Medicine

NPI 1144306317

Doctor of Medicine (M.D.)

NPI 1245434570

Doctor of Dental Surgery

NPI 1275838906

Doctor of Dental Surgery

NPI 1417950171

Doctor of Dental Surgery

Judith Brauner , LCSW

Social Worker - Clinical

NPI 1487856530

Licensed Clinical Social Worker

Dr. Dayen Peter Wang , DDS

Dentist - Periodontics

NPI 1639241532

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 18, 2017

Record deactivated on April 18, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1625 ANDERSON AVE, FORT LEE, NJ 070242748 (Tel: 2012240024)

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Updated Business Mailing Address July 08, 2007

Registered at 1625 ANDERSON AVE, FORT LEE, NJ 070242748 (Tel: 2012240024)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES DOHERTY, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #38MC00123600 in NJ)

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Initial NPI Registration & Enumeration May 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417162553
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2007
Last Update: July 08, 2007
Deactivation Date: April 18, 2017

Mailing Address

1625 Anderson Ave

Fort Lee, NJ 070242748

Phone: 2012240024

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.