Peter Gebraiel, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00764400 Issued in NJ

Practice address

113 Maple Stream Rd
East Windsor, NJ 08520-2459

Phone

(609) 448-6740

NPI assigned

Jan 26, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

New York Chiropractic College, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cimato Chiropractic Center LLC

  • Chiropractor
  • East Windsor, NJ
  • NPI 1710662234
  Medicare reassignment NPD Authorized official
• New York Chiropractic & Physical Therapy, PLLC

  • Chiropractor
  • Staten Island, NY
  • NPI 1952573065
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1003206376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MAPLE STREAM RD",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202459",
            "telephone_number": "609-448-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MAPLE STREAM RD",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202459",
            "telephone_number": "609-448-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBRAIEL",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-26",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "70012629",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00764400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92-1570085",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Future Pharmacy 3 LLC
• Montanna Gallagher, MSN, WHNP-BC
• Pallavi R Gandhi, MS IN PHARMACY
• Jeffrey S. Garber, R.PH
• Paola Marie Garcia Torres, PHARMD
• Geriatrics Associates of New Jersey LLC
• Geriatrics Medicine NJ LLC
• Mahakdip Kaur Gill, PHARMD
• Glass Optical LLC
• Glass Optical, L. L. C.

• Chiropractor in East Windsor, NJ
• Providers in East Windsor, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.