Johanns Mauricio Gammel, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00260000 Issued in NJ

Practice address

251 Rock Rd
Glen Rock, NJ 07452-1745

Phone

(201) 445-0900

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dr. Michael C. Stewart, PC

  • Chiropractor
  • Glen Rock, NJ
  • NPI 1841594488
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1003988932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 ANDOVER TER",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523719",
            "telephone_number": "551-579-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 ROCK RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521745",
            "telephone_number": "201-445-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMEL",
        "first_name": "JOHANNS",
        "middle_name": "MAURICIO",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00260000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany L Foley
• Robyn Leslie Fox, PHD
• Adam Seth Friend, MD
• Nicole Fuller
• Sharon A Galvin, M.D.
• Haley Gasiewicz
• Rebecca Gasin
• Gatto Acupuncture & Wellness, LLC
• Benjamin Gertzog, DPT
• Jossana Ghobryal I, D.C.

• Physical Therapy Assistant in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.