Provider Demographics
NPI:1033250261
Name:CATTAFI, RICHARD NICHOLAS (DC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:NICHOLAS
Last Name:CATTAFI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:RICHARD
Other - Middle Name:NICHOLAS
Other - Last Name:CATTAFI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:100 W KINGFISHER WAY
Mailing Address - Street 2:
Mailing Address - City:LAVALLETTE
Mailing Address - State:NJ
Mailing Address - Zip Code:08735
Mailing Address - Country:US
Mailing Address - Phone:732-618-0495
Mailing Address - Fax:
Practice Address - Street 1:100 WEST KINGFISHER WAY.
Practice Address - Street 2:
Practice Address - City:LAVALLETTE
Practice Address - State:NJ
Practice Address - Zip Code:08735
Practice Address - Country:US
Practice Address - Phone:732-618-0495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00212400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor